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General NPI Number Information
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NPI Number | 1174275341
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Entity Type | Organization
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Legal Business Name | LINK COMMUNITY CLINIC NP PC
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 107 N TACOMA AVE
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City | TACOMA
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State | WA
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Zip | 98403-2631
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Country | US
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Telephone | 555-555-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 107 N TACOMA AVE
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City | TACOMA
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State | WA
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Zip | 98403-2631
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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 | PHYSICIAN
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Name | DR. GENA KIM POLING
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Credential | ND
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Telephone | 253-279-1227
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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 |
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License Number State |
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