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General NPI Number Information
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NPI Number | 1164805248
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Entity Type | Organization
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Legal Business Name | CLINICIAN LINK, LLC
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 155 NE 100TH ST 402
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City | SEATTLE
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State | WA
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Zip | 98125-8012
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Country | US
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Telephone | 206-925-3525
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Fax | 206-925-3237
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Provider Business Mailing Address
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Address Line | 6034 SYCAMORE AVE NW STE B
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City | SEATTLE
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State | WA
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Zip | 98107-2041
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Country | US
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Telephone | 206-925-3525
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Fax | 206-925-3237
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Authorized Official
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Title or Position | OWNER
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Name | DR. LESLIE DEGASPARIS
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Credential | N.D.
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Telephone | 206-925-3525
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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 | NT1282
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License Number State | WA
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