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General NPI Number Information
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NPI Number | 1144011958
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Entity Type | Organization
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Legal Business Name | HAZELNUT HEALTH PLLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 101 E 8TH ST STE 110
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City | VANCOUVER
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State | WA
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Zip | 98660-3294
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Country | US
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Telephone | 206-228-6961
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Fax |
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Provider Business Mailing Address
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Address Line | 8301B 5TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-4118
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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 | MARLENE J HILLYER
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Credential |
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Telephone | 360-209-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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