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General NPI Number Information
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NPI Number | 1750417192
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Entity Type | Individual
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Provider Name | LAURA CHRISTINE EASTMAN ND
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 12/05/2013
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Provider Practice Location Address
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Address Line | 105 NE 56TH ST
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City | SEATTLE
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State | WA
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Zip | 98105-3737
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Country | US
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Telephone | 206-257-5817
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Fax | 206-257-5819
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Provider Business Mailing Address
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Address Line | 105 NE 56TH ST
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City | SEATTLE
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State | WA
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Zip | 98105-3737
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Country | US
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Telephone | 206-257-5817
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Fax | 206-257-5819
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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 | NT00001440
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License Number State | WA
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