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General NPI Number Information
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NPI Number | 1851564306
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Entity Type | Individual
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Provider Name | JEANNINE WILMES N.D., E.A.M.P.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 5355 TALLMAN AVE NW STE 217
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City | SEATTLE
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State | WA
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Zip | 98107-3953
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Country | US
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Telephone | 206-486-2031
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Fax | 855-221-5624
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Provider Business Mailing Address
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Address Line | PO BOX 252
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City | MONROE
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State | WA
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Zip | 98272-0252
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Country | US
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Telephone | 360-794-1456
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC60018053
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT00001649
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License Number State | WA
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