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General NPI Number Information
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NPI Number | 1366923120
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Entity Type | Organization
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Legal Business Name | ORIGINS NATURAL HEALTH AND MIDWIFERY
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 110 CEDAR AVE APT 101
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City | SNOHOMISH
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State | WA
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Zip | 98290-2959
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Country | US
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Telephone | 360-282-4014
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Fax | 360-282-4017
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Provider Business Mailing Address
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Address Line | 110 CEDAR AVE APT 101
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City | SNOHOMISH
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State | WA
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Zip | 98290-2959
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Country | US
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Telephone | 360-282-4024
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Fax | 360-282-4017
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. CASSANDRA HURD
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Credential | ND, LM, CPM
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Telephone | 360-862-2005
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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 | MW60402527
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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 | NT60408970
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License Number State | WA
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