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General NPI Number Information
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NPI Number | 1649515610
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Entity Type | Individual
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Provider Name | HANNAH EPSTEIN MS, CN, CCN
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Gender | Female
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 3525 ENSIGN RD NE SUITE N
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City | OLYMPIA
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State | WA
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Zip | 98506
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Country | US
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Telephone | 360-320-6772
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Fax | 425-526-5659
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Provider Business Mailing Address
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Address Line | 2002 17TH AVE NE
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City | ISSAQUAH
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State | WA
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Zip | 98029-7373
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Country | US
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Telephone | 360-320-6772
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Fax | 425-526-5659
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | NUTR.NU.60316605
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License Number State | WA
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