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General NPI Number Information
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NPI Number | 1396121901
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Entity Type | Organization
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Legal Business Name | MARIN NATUROPATHIC MEDICINE
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 2144 4TH ST STE B
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2668
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Country | US
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Telephone | 415-460-1968
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Fax | 415-785-7964
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Provider Business Mailing Address
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Address Line | 2144 4TH ST STE B
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2668
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Country | US
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Telephone | 415-460-1968
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Fax | 415-785-7964
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Authorized Official
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Title or Position | OWNER, MEDICAL DIRECTOR
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Name | DR. CHRISTINE MEEHAN SCHAFFNER
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Credential | N.D.
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Telephone | 415-460-1968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ND723
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License Number State | CA
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