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General NPI Number Information
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NPI Number | 1003726514
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Entity Type | Organization
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Legal Business Name | OPHIDIA INTEGRATIVE
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 13620 NE 20TH ST STE G
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City | BELLEVUE
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State | WA
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Zip | 98005-4901
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Country | US
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Telephone | 908-752-5856
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Fax | 800-392-4284
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Provider Business Mailing Address
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Address Line | 95 MOLLY SUPPLE HILL RD
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City | MONTPELIER
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State | VT
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Zip | 05602-9525
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Country | US
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Telephone | 908-752-5856
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Fax | 800-392-4284
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Authorized Official
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Title or Position | NATUROPATHIC DOCTOR
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Name | ATARA JAFFE
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Credential | ND
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Telephone | 908-752-5856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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