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NPI 1760870679

NPI 1760870679 : SEATTLE TOTAL HEALTH : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1760870679
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    Entity Type          |    Organization 
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    Legal Business Name  |    SEATTLE TOTAL HEALTH 
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Dates
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    Enumeration Date     |    12/30/2014
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    Last Update Date     |    12/30/2014
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Provider Practice Location Address
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    Address Line         |    1904 3RD AVE SUITE 320
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98101-1126
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    Country              |    US
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    Telephone            |    206-925-3556
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    Fax                  |    206-430-1893
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Provider Business Mailing Address
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    Address Line         |    1904 3RD AVE SUITE 320
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98101-1126
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    Country              |    US
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    Telephone            |    206-925-3556
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    Fax                  |    206-430-1893
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     TIFFANY CHERIE CHRISTIE 
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    Credential           |    D.C.
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    Telephone            |    321-544-6772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    CH60237766
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    License Number State |    WA
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