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General NPI Number Information
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NPI Number | 1013617513
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Entity Type | Organization
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Legal Business Name | LOTUS NATURAL FAMILY MEDICINE, PLLC
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 811 NE 112TH AVE STE 106
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City | VANCOUVER
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State | WA
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Zip | 98684-5115
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Country | US
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Telephone | 360-207-5178
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Fax | 888-797-6301
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Provider Business Mailing Address
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Address Line | 811 NE 112TH AVE STE 106
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City | VANCOUVER
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State | WA
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Zip | 98684-5115
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Country | US
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Telephone | 360-207-5178
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Fax | 888-797-6301
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. HEIDI RENEE CODINO
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Credential | ND
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Telephone | 360-207-5178
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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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