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General NPI Number Information
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NPI Number | 1568786887
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Entity Type | Individual
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Provider Name | MARY CAROL NACHTIGAL RN, ARNP, ND
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Gender | Female
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 2300 26TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98144-5339
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Country | US
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Telephone | 206-326-7464
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Fax |
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Provider Business Mailing Address
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Address Line | 6047 S ROXBURY ST
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City | SEATTLE
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State | WA
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Zip | 98118-5944
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Country | US
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Telephone | 206-854-3271
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00172351
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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 | NT60109747
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60108244
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License Number State | WA
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