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General NPI Number Information
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NPI Number | 1164558813
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Entity Type | Organization
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Legal Business Name | KIRKLAND NATURAL HEALTH
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 12636 NE 85TH ST
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City | KIRKLAND
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State | WA
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Zip | 98033-8045
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Country | US
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Telephone | 425-822-0602
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Fax | 425-822-2082
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Provider Business Mailing Address
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Address Line | 24962 SE 155TH PL
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City | ISSAQUAH
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State | WA
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Zip | 98027-8254
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Country | US
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Telephone | 425-822-0602
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Fax | 425-822-2082
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAURA ANN SCANLAN
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Credential | N.D., L.AC.
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Telephone | 425-822-0602
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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 | 721
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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 | NT1008
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License Number State | WA
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