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General NPI Number Information
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NPI Number | 1538492996
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Entity Type | Organization
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Legal Business Name | NORTHWEST NATUROPATHY AND ACUPUNCTURE, PLLC
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 6300 9TH AVE NE STE 310
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City | SEATTLE
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State | WA
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Zip | 98115-8516
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Country | US
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Telephone | 206-524-0863
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Fax | 206-524-1019
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Provider Business Mailing Address
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Address Line | 6300 9TH AVE NE STE 310
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City | SEATTLE
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State | WA
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Zip | 98115-8516
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Country | US
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Telephone | 206-524-0863
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Fax | 206-524-1019
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. MELISSA H MINOFF
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Credential | N.D., L.AC.
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Telephone | 206-524-0863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | NT00001062
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License Number State | WA
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