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General NPI Number Information
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NPI Number | 1326451428
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Entity Type | Organization
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Legal Business Name | WHOLE HEALTH OSTEOPATHIC MEDICINE LLC
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 3931 WOODLAND PARK AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-7928
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Country | US
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Telephone | 714-651-1176
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Fax |
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Provider Business Mailing Address
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Address Line | 3931 WOODLAND PARK AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-7928
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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/MEMBER
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Name | DR. JENNIFER KLEIN
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Credential | DO
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Telephone | 714-651-1176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP 60305926
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License Number State | WA
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