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General NPI Number Information
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NPI Number | 1417598541
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Entity Type | Organization
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Legal Business Name | ESSENTIAL NATURAL MEDICINE
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Dates
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Enumeration Date | 09/30/2019
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 652 SW 150TH ST
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City | BURIEN
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State | WA
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Zip | 98166-4612
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Country | US
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Telephone | 206-838-7704
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Fax | 206-838-5511
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Provider Business Mailing Address
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Address Line | 652 SW 150TH ST
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City | BURIEN
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State | WA
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Zip | 98166-4612
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Country | US
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Telephone | 206-838-7704
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Fax | 206-838-5511
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUSAN ELIZABETH JONES
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Credential | ND
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Telephone | 206-838-7704
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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 |
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License Number State |
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