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NPI 1073322079

NPI 1073322079 : TURTLES PATH WELLNESS LLC : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1073322079
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    Entity Type          |    Organization 
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    Legal Business Name  |    TURTLES PATH WELLNESS LLC 
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Dates
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    Enumeration Date     |    01/03/2025
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    Last Update Date     |    01/03/2025
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Provider Practice Location Address
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    Address Line         |    450 ALASKAN WAY S STE 200 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98104-2785
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    Country              |    US
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    Telephone            |    786-709-7182
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    602 S MAIN ST FL 1 
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    City                 |    GAINESVILLE
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    State                |    FL
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    Zip                  |    32601-6718
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JACQUELINE  ALIANO 
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    Credential           |    
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    Telephone            |    786-709-7182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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