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General NPI Number Information
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NPI Number | 1679988729
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Entity Type | Organization
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Legal Business Name | TREEHOUSE FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 3316 NE 125TH ST STE 2
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City | SEATTLE
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State | WA
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Zip | 98125-4565
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Country | US
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Telephone | 206-203-2509
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Fax |
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Provider Business Mailing Address
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Address Line | 3316 NE 125TH ST STE 2
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City | SEATTLE
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State | WA
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Zip | 98125-4565
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Country | US
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Telephone | 206-203-2509
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICIAN
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Name | DR. ELIAS KASS
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Credential | ND
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Telephone | 206-203-2509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | MW60169619
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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 | NT60180931
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License Number State | WA
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