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General NPI Number Information
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NPI Number | 1538495163
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Entity Type | Organization
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Legal Business Name | ACCESS WELLNESS CENTER
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Dates
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Enumeration Date | 11/02/2009
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 4130 LIND AVE SW
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City | RENTON
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State | WA
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Zip | 98057-4973
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Country | US
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Telephone | 206-427-1431
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Fax | 425-251-6650
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Provider Business Mailing Address
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Address Line | 4130 LIND AVE SW
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City | RENTON
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State | WA
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Zip | 98057-4973
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Country | US
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Telephone | 206-427-1431
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Fax | 425-251-6650
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Authorized Official
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Title or Position | MANAGER
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Name | MS. GALIA PETROVA FILIPOVA
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Credential |
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Telephone | 206-427-1431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | MA60112426
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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 | NT60088404
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License Number State | WA
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