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General NPI Number Information
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NPI Number | 1740781731
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Entity Type | Individual
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Provider Name | KWANG HO CHAE ND
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Gender | Male
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Dates
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Enumeration Date | 02/24/2018
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 6226 196TH ST SW STE 2D
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City | LYNNWOOD
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State | WA
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Zip | 98036-5959
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Country | US
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Telephone | 206-333-2778
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Fax | 206-278-1600
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Provider Business Mailing Address
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Address Line | 6226 196TH ST SW STE 2D
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City | LYNNWOOD
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State | WA
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Zip | 98036-5959
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Country | US
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Telephone | 206-333-2778
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Fax | 206-278-1600
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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 | ND972
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License Number State | CA
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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 | ND298
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT60809269
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License Number State | WA
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