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General NPI Number Information
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NPI Number | 1255512893
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Entity Type | Individual
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Provider Name | MAEGAN KNUTSON ND
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Gender | Female
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 17401 135TH AVE NE SUITE 6
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City | WOODINVILLE
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State | WA
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Zip | 98072-6825
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Country | US
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Telephone | 425-402-9999
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Fax | 425-402-8390
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Provider Business Mailing Address
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Address Line | 17401 135TH AVE NE SUITE 6
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City | WOODINVILLE
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State | WA
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Zip | 98072-6825
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Country | US
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Telephone | 425-402-9999
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Fax | 425-402-8390
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC00003051
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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 | NT00001592
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00012754
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License Number State | WA
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