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General NPI Number Information
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NPI Number | 1053075184
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Entity Type | Organization
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Legal Business Name | ANCIENT HEALING ARTS, PLLC
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 3417 EVANSTON AVE N STE 428
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City | SEATTLE
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State | WA
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Zip | 98103-8970
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Country | US
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Telephone | 425-318-9561
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Fax | 877-393-1378
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Provider Business Mailing Address
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Address Line | 5004 HUBBARD HILL RD
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City | OAK HARBOR
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State | WA
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Zip | 98277-9613
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Country | US
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Telephone | 206-384-0496
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Fax | 206-299-4800
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Authorized Official
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Title or Position | CEO
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Name | ERIN E STEWART
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Credential | LAC
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Telephone | 425-381-9561
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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