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General NPI Number Information
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NPI Number | 1194310409
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Entity Type | Organization
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Legal Business Name | WELLNESS CARE PLLC
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Dates
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Enumeration Date | 03/08/2021
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 13390 NE VILLAGE SQUARE DR APT B309
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City | WOODINVILLE
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State | WA
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Zip | 98072-8000
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Country | US
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Telephone | 425-260-2612
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Fax |
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Provider Business Mailing Address
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Address Line | 13390 NE VILLAGE SQUARE DR APT B309
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City | WOODINVILLE
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State | WA
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Zip | 98072-4120
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Country | US
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Telephone | 425-260-2612
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE WALKER
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Credential |
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Telephone | 425-260-2612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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