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General NPI Number Information
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NPI Number | 1568283802
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Entity Type | Organization
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Legal Business Name | PAIN ALTERNATIVES CLINIC PLLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 14010 3RD AVE NW
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City | SEATTLE
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State | WA
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Zip | 98177-3924
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Country | US
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Telephone | 206-687-4786
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Fax | 206-299-9768
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Provider Business Mailing Address
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Address Line | 14010 3RD AVE NW
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City | SEATTLE
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State | WA
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Zip | 98177-3924
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Country | US
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Telephone | 206-687-4786
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Fax | 206-299-9768
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Authorized Official
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Title or Position | SINGLE MEMBER PLLC OWNER
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Name | DR. ALEX L ALEXANDER
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Credential | ND LMHC
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Telephone | 206-391-0319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 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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