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General NPI Number Information
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NPI Number | 1669908414
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Entity Type | Organization
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Legal Business Name | HAWTHORN NATURAL HEALTH, PLLC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 313 S 7TH ST
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City | TACOMA
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State | WA
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Zip | 98402-3707
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Country | US
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Telephone | 253-254-6063
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Fax |
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Provider Business Mailing Address
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Address Line | 5402 N COURT ST
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City | RUSTON
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State | WA
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Zip | 98407-3105
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANN MURPHY
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Credential | EAMP
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Telephone | 253-254-6063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC60202610
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License Number State | WA
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