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General NPI Number Information
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NPI Number | 1205361235
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Entity Type | Organization
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Legal Business Name | QUINN NUTRITION COUNSELING LLC
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Dates
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Enumeration Date | 04/27/2017
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 6659 KIMBALL DR STE C301
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City | GIG HARBOR
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State | WA
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Zip | 98335-5139
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Country | US
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Telephone | 253-292-3803
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Fax |
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Provider Business Mailing Address
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Address Line | 4205 59TH STREET CT NW
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City | GIG HARBOR
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State | WA
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Zip | 98335-8129
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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 | OWNER, NUTRITIONIST
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Name | CHERYL QUINN
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Credential |
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Telephone | 253-225-6110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | NU 60403861
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License Number State | WA
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