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General NPI Number Information
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NPI Number | 1558136135
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Entity Type | Organization
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Legal Business Name | ORIGINS NATURAL HEALTH, PLLC
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Dates
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Enumeration Date | 11/24/2023
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Last Update Date | 11/24/2023
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Provider Practice Location Address
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Address Line | 1100 NW 50TH ST
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City | SEATTLE
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State | WA
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Zip | 98107-5119
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Country | US
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Telephone | 206-899-8978
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Fax |
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Provider Business Mailing Address
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Address Line | 2528 NE 107TH ST
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City | SEATTLE
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State | WA
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Zip | 98125-6708
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Country | US
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Telephone | 206-899-8978
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Fax |
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Authorized Official
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Title or Position | OWNER/ OPERATOR
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Name | DR. BLAKE DENNIS
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Credential | ND
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Telephone | 206-899-8978
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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 |
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License Number State |
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