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General NPI Number Information
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NPI Number | 1083976559
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Entity Type | Individual
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Provider Name | KATIE LUNDBERG N.D., L.AC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 11/27/2019
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Provider Practice Location Address
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Address Line | 11821 NE 128TH ST STE H
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City | KIRKLAND
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State | WA
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Zip | 98034-7210
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Country | US
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Telephone | 206-618-6549
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Fax | 425-968-6367
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Provider Business Mailing Address
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Address Line | 13128 TOTEM LAKE BLVD NE STE 206
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City | KIRKLAND
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State | WA
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Zip | 98034-2953
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Country | US
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Telephone | 425-229-4920
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC60140585
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT60187892
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License Number State | WA
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