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General NPI Number Information
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NPI Number | 1477626323
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Entity Type | Individual
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Provider Name | BAJDA VALENTINA WELTY MS, LAC, LMP
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 9431 COPPERTOP LOOP NE UNIT 206
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110
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Country | US
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Telephone | 206-780-6988
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Fax | 206-686-3385
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Provider Business Mailing Address
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Address Line | PO BOX 10578
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-0578
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Country | US
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Telephone | 206-780-6988
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Fax | 206-686-3385
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA60261321
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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 | 1905
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License Number State | WA
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