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General NPI Number Information
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NPI Number | 1518313048
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Entity Type | Individual
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Provider Name | JENNA MARIE RAYACHOTI ND
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Gender | Female
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 505 STATE ROUTE 20
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City | WINTHROP
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State | WA
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Zip | 98862
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Country | US
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Telephone | 206-552-9829
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Fax | 833-914-2701
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Provider Business Mailing Address
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Address Line | PO BOX 254
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City | WINTHROP
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State | WA
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Zip | 98862-0254
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Country | US
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Telephone | 206-552-9829
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Fax | 833-914-2701
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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 | NATU.NT.60655893
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 60655893
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License Number State | WA
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