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General NPI Number Information
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NPI Number | 1710609714
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Entity Type | Organization
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Legal Business Name | GROUNDING WELLNESS, LLC
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 8606 NE 143RD ST
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City | KIRKLAND
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State | WA
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Zip | 98034-5068
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Country | US
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Telephone | 425-470-3365
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Fax |
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Provider Business Mailing Address
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Address Line | 8606 NE 143RD ST
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City | KIRKLAND
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State | WA
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Zip | 98034-5068
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Country | US
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Telephone | 425-470-3365
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | MRS. STEPHANIE LADUKE
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Credential |
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Telephone | 425-470-3365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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