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General NPI Number Information
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NPI Number | 1821549692
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Entity Type | Organization
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Legal Business Name | TUMMY TEMPLE
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 2016 NE 65TH ST SUITE B
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City | SEATTLE
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State | WA
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Zip | 98115-6957
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Country | US
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Telephone | 206-527-6127
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Fax |
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Provider Business Mailing Address
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Address Line | 2016 NE 65TH ST SUITE B
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City | SEATTLE
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State | WA
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Zip | 98115-6957
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Country | US
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Telephone | 206-527-6127
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | TIM ZIMMER
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Credential |
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Telephone | 207-527-6127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | RD1020427
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACUP.AC.60672521
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License Number State | WA
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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 | NT00001172
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT60258519
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License Number State | WA
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