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General NPI Number Information
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NPI Number | 1083367270
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Entity Type | Organization
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Legal Business Name | RESONANCE NATURAL MEDICINE LLC
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 555 SE M L KING BLVD STE 105
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City | PORTLAND
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State | OR
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Zip | 97214-2120
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Country | US
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Telephone | 520-440-9508
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Fax |
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Provider Business Mailing Address
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Address Line | 3439 SE HAWTHORNE BLVD # 423
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City | PORTLAND
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State | OR
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Zip | 97214-5048
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Country | US
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Telephone | 520-440-9508
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Fax |
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Authorized Official
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Title or Position | NATUROPATHIC DOCTOR/OWNER MEMBER
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Name | MELISSA I HUGHES
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Credential | ND
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Telephone | 520-440-9508
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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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