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General NPI Number Information
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NPI Number | 1467137638
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Entity Type | Organization
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Legal Business Name | CENTELLA HEALTH, PLLC
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 13110 NE 177TH PL # 1113
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City | WOODINVILLE
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State | WA
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Zip | 98072-5740
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Country | US
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Telephone | 989-255-5127
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Fax | 253-384-2460
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Provider Business Mailing Address
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Address Line | 2226 EASTLAKE AVE E STE 739
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City | SEATTLE
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State | WA
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Zip | 98102-3419
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / CLINIC DIRECTOR
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Name | DR. STEVEN LABRECQUE
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Credential |
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Telephone | 989-255-5127
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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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