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NPI 1215941224

NPI 1215941224 : BRANDY C ROSS N.D., L.M. : SHORELINE, WA

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General NPI Number Information
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    NPI Number           |    1215941224
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    Entity Type          |    Individual 
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    Provider Name        |    BRANDY C ROSS N.D., L.M.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/27/2006
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    Last Update Date     |    05/28/2025
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Provider Practice Location Address
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    Address Line         |    20126 BALLINGER WAY NE # 141 
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    City                 |    SHORELINE
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    State                |    WA
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    Zip                  |    98155-1117
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    Country              |    US
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    Telephone            |    425-670-6752
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    Fax                  |    888-691-3151
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Provider Business Mailing Address
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    Address Line         |    20126 BALLINGER WAY NE # 141 
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    City                 |    SHORELINE
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    State                |    WA
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    Zip                  |    98155-1117
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    Country              |    US
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    Telephone            |    425-670-6752
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    Fax                  |    888-691-3151
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    176B00000X
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    Taxonomy Name        |    Midwife
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    License Number       |    MW00000299
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    NT1397
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    License Number State |    WA
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