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General NPI Number Information
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NPI Number | 1700779691
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Entity Type | Individual
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Provider Name | MAKENZI CAVANAUGH ND
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 12600 SE 38TH ST STE 130
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City | BELLEVUE
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State | WA
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Zip | 98006-6105
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Country | US
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Telephone | 425-679-6056
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Fax |
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Provider Business Mailing Address
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Address Line | 13404 NEWCASTLE COMMONS DR APT 217
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City | NEWCASTLE
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State | WA
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Zip | 98059-3211
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Country | US
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Telephone | 330-703-6776
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT61646670
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License Number State | WA
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