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General NPI Number Information
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NPI Number | 1457054652
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Entity Type | Individual
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Provider Name | JENNA JOY WHITTINGTON LAC
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Gender | Female
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 9714 3RD AVE NE STE 103
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City | SEATTLE
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State | WA
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Zip | 98115-2047
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Country | US
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Telephone | 206-527-9205
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Fax |
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Provider Business Mailing Address
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Address Line | 17211 2ND AVE NE
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City | SHORELINE
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State | WA
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Zip | 98155-4951
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Country | US
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Telephone | 206-696-9999
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 61405159
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License Number State | WA
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