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General NPI Number Information
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NPI Number | 1831626233
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Entity Type | Individual
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Provider Name | ALYSSA L KELLY ND
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Gender | Female
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Dates
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Enumeration Date | 05/16/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 509 OLIVE WAY STE 1315
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City | SEATTLE
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State | WA
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Zip | 98101-1771
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Country | US
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Telephone | 206-382-9977
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Fax | 888-519-9390
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Provider Business Mailing Address
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Address Line | 711 NE 60TH ST
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City | SEATTLE
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State | WA
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Zip | 98115-5513
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Country | US
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Telephone | 630-306-6726
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Fax |
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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 | NT60758539
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License Number State | WA
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