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General NPI Number Information
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NPI Number | 1346655123
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Entity Type | Organization
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Legal Business Name | PENINSULA NATURAL HEALTH CLINIC, INC.
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 5603 38TH AVE NW
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City | GIG HARBOR
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State | WA
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Zip | 98335-8218
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Country | US
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Telephone | 253-857-5544
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Fax | 253-857-9088
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Provider Business Mailing Address
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Address Line | 5603 38TH AVE NW
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City | GIG HARBOR
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State | WA
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Zip | 98335-8218
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Country | US
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Telephone | 253-857-5544
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Fax | 253-857-9088
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Authorized Official
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Title or Position | NATUROPATHIC DOCTOR/PRESIDENT
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Name | DR. ANNA CHRISTINE COLOMBINI
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Credential | N.D.
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Telephone | 253-857-5544
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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 | 603260932
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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 | 603260932
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License Number State | WA
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