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General NPI Number Information
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NPI Number | 1386897536
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Entity Type | Individual
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Provider Name | JANA HAGEN N.D.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2008
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Last Update Date | 10/31/2008
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Provider Practice Location Address
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Address Line | 2324 EASTLAKE AVE E SUITE 510
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City | SEATTLE
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State | WA
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Zip | 98102-3345
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Country | US
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Telephone | 206-734-4779
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Fax | 425-491-5390
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Provider Business Mailing Address
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Address Line | 2520 241ST ST SE
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City | BOTHELL
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State | WA
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Zip | 98021-6519
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Country | US
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Telephone | 206-734-4779
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Fax | 425-491-5390
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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 | NT 00001586
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License Number State | WA
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