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General NPI Number Information
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NPI Number | 1588706899
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Entity Type | Individual
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Provider Name | JANE MITCHELL FEDERLE D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 7522 20TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-4402
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Country | US
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Telephone | 206-866-8711
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Fax | 206-866-8711
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Provider Business Mailing Address
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Address Line | 1037 NE 65TH ST # 225
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City | SEATTLE
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State | WA
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Zip | 98115-6655
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Country | US
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Telephone | 206-866-8711
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 60550533
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License Number State | WA
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