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General NPI Number Information
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NPI Number | 1619632528
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Entity Type | Organization
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Legal Business Name | KATHERINE SHEA, PLLC
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 3401 EVANSTON AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-8677
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Country | US
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Telephone | 860-967-9375
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 EVANSTON AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-8677
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Country | US
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Telephone | 860-967-9375
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | KATHERINE SHEA
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Credential | LAC
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Telephone | 860-967-9375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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