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General NPI Number Information
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NPI Number | 1134388655
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Entity Type | Individual
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Provider Name | ALLEN JAMES JOHNSON ND
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Gender | Male
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 2106 N 45TH ST
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City | SEATTLE
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State | WA
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Zip | 98103-6902
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Country | US
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Telephone | 360-268-1603
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Fax | 360-268-1683
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Provider Business Mailing Address
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Address Line | 9023 11TH PL W
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City | EVERETT
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State | WA
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Zip | 98204-2694
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Country | US
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Telephone | 425-347-1740
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT00000606
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License Number State | WA
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