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General NPI Number Information
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NPI Number | 1699622647
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Entity Type | Individual
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Provider Name | ELIZABETH ANN LENNON NBC-HWC, CN
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Gender | Female
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 785 ERICKSEN AVE NE STE 117
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-1874
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Country | US
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Telephone | 206-848-9814
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Fax |
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Provider Business Mailing Address
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Address Line | 2850 NW BUCKLIN HILL RD
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City | SILVERDALE
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State | WA
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Zip | 98383-8513
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Country | US
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Telephone | 206-848-9814
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | NUTR.NU.70069506
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | NUTR.NU.70069506
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-3125494
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License Number State | WA
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