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General NPI Number Information
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NPI Number | 1023868635
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Entity Type | Organization
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Legal Business Name | ESSENCE HEALTH AND RESEARCH FOUNDATION
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 22845 SE 1ST PL APT 405
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City | SAMMAMISH
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State | WA
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Zip | 98074-5038
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Country | US
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Telephone | 425-505-3090
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Fax |
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Provider Business Mailing Address
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Address Line | 22845 SE 1ST PL APT 405
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City | SAMMAMISH
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State | WA
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Zip | 98074-5038
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Country | US
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Telephone | 425-505-3090
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JENNIFER COOMES
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Credential | DCN
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Telephone | 425-505-3090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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