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General NPI Number Information
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NPI Number | 1396875134
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Entity Type | Individual
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Provider Name | SUZANNE LYNN SYKURSKI NMD
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 535 E SUNSET WAY STE B
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City | ISSAQUAH
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State | WA
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Zip | 98027-3473
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Country | US
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Telephone | 425-890-2072
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Fax | 425-642-3220
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Provider Business Mailing Address
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Address Line | PO BOX 1975
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City | ISSAQUAH
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State | WA
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Zip | 98027-0084
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Country | US
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Telephone | 425-890-2072
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Fax | 425-642-3220
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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 | NT00001351
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License Number State | WA
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