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General NPI Number Information
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NPI Number | 1790142610
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Entity Type | Organization
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Legal Business Name | JILL COREY
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 340 15TH AVE E SUITE 306
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City | SEATTLE
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State | WA
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Zip | 98112
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Country | US
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Telephone | 206-971-6708
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Fax | 888-339-0774
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Provider Business Mailing Address
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Address Line | 340 15TH AVE E SUITE 306
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City | SEATTLE
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State | WA
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Zip | 98112
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Country | US
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Telephone | 206-971-6708
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Fax | 888-339-0774
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Authorized Official
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Title or Position | OWNER
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Name | DR. JILL COREY
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Credential | ND
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Telephone | 206-971-6708
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | NT60618568
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License Number State | WA
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