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General NPI Number Information
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NPI Number | 1467643882
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Entity Type | Individual
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Provider Name | JAYMIE FELICE MACKLER N.D., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 612 E 17TH ST
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City | VANCOUVER
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State | WA
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Zip | 98663-3428
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Country | US
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Telephone | 360-326-6336
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Fax | 844-965-9804
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Provider Business Mailing Address
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Address Line | 2114 MAIN STREET #100, BOX 234
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City | VANCOUVER
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State | WA
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Zip | 98660
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Country | US
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Telephone | 360-326-6336
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Fax | 844-965-9804
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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 | NT00001411
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC00002759
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License Number State | WA
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