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General NPI Number Information
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NPI Number | 1386129609
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Entity Type | Individual
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Provider Name | MISTY LYNN STORY ND
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Gender | Female
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 5600 14TH AVE NW STE 1
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City | SEATTLE
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State | WA
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Zip | 98107-3723
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Country | US
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Telephone | 206-919-0175
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Fax |
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Provider Business Mailing Address
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Address Line | 4806 N DRIVER LN APT 117
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City | COEUR D ALENE
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State | ID
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Zip | 83815-0012
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Country | US
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Telephone | 303-518-2202
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 0040
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License Number State | ID
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