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General NPI Number Information
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NPI Number | 1558686295
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Entity Type | Organization
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Legal Business Name | CHRISTINA GUTIERREZ ND LM INC PS
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 3876 BRIDGE WAY N SUITE 300
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City | SEATTLE
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State | WA
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Zip | 98103-7951
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Country | US
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Telephone | 206-624-6627
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Fax | 206-525-5933
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Provider Business Mailing Address
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Address Line | 3876 BRIDGE WAY N SUITE 300
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City | SEATTLE
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State | WA
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Zip | 98103-7951
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Country | US
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Telephone | 206-624-6627
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Fax | 206-525-5933
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA ELIZABETH GUTIERREZ
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Credential | ND LM
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Telephone | 206-624-6627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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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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