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General NPI Number Information
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NPI Number | 1760538086
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Entity Type | Individual
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Provider Name | MATTHEW SPENCER BRIGNALL N.D.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 107 N TACOMA AVE
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City | TACOMA
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State | WA
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Zip | 98403-2631
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Country | US
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Telephone | 253-267-1317
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Fax | 253-212-3128
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Provider Business Mailing Address
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Address Line | 107 N TACOMA AVE
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City | TACOMA
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State | WA
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Zip | 98403-2631
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Country | US
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Telephone | 253-267-1317
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Fax | 253-212-3128
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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 | NT00000945
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License Number State | WA
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