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General NPI Number Information
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NPI Number | 1346702883
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Entity Type | Organization
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Legal Business Name | SEATTLE BELTA MEDICINE CORP
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 18904 HIGHWAY 99 STE K
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City | LYNNWOOD
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State | WA
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Zip | 98036-5219
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Country | US
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Telephone | 206-801-3894
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Fax | 206-902-1325
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Provider Business Mailing Address
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Address Line | 18904 HIGHWAY 99 STE K
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City | LYNNWOOD
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State | WA
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Zip | 98036-5219
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Country | US
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Telephone | 206-801-3894
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Fax | 206-902-1325
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LOREILEE SALINAS
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Credential |
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Telephone | 206-801-3894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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