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General NPI Number Information
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NPI Number | 1386138907
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Entity Type | Individual
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Provider Name | AMANDA FRANCES ELLIS REGISTERED DIETITIAN
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Gender | Female
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 915 118TH AVE SE, ATTENTION ALECIA JOHNSON, RET PHYSICA SUITE 110
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City | BELLEVUE
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State | WA
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Zip | 98005
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Country | US
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Telephone | 425-243-6922
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Fax | 425-452-0704
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Provider Business Mailing Address
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Address Line | 915 118TH AVE SE, ATTENTION ALECIA JOHNSON, RET PHYSICA SUITE 110
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City | BELLEVUE
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State | WA
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Zip | 98005
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Country | US
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Telephone | 425-243-6922
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Fax | 425-452-0704
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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