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General NPI Number Information
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NPI Number | 1376316943
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Entity Type | Organization
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Legal Business Name | LIVING EXPRESSION PLLC
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 11821 82ND PL S
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City | SEATTLE
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State | WA
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Zip | 98178-5180
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Country | US
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Telephone | 832-605-6907
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Fax |
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Provider Business Mailing Address
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Address Line | 720 N 10TH ST STE A420
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City | RENTON
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State | WA
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Zip | 98057-5683
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Country | US
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Telephone | 832-605-6907
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RACHEL W. NGINYI-MUNYOLI
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Credential | ARNP
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Telephone | 832-605-6907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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