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General NPI Number Information
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NPI Number | 1194403402
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Entity Type | Organization
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Legal Business Name | HOLISTIC HEALTH & BEYOND PLLC
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 2302 S UNION AVE STE 30
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City | TACOMA
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State | WA
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Zip | 98405-1361
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Country | US
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Telephone | 253-533-3553
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Fax |
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Provider Business Mailing Address
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Address Line | 10908 56TH AVENUE CT E APT P302
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City | PUYALLUP
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State | WA
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Zip | 98373-5763
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Country | US
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Telephone | 206-513-4759
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | THAI LY
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Credential |
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Telephone | 206-513-4759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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