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General NPI Number Information
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NPI Number | 1871856187
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Entity Type | Individual
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Provider Name | ADEOLA MARY MEAD N.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 8012 15TH AVE NW
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City | SEATTLE
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State | WA
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Zip | 98117-3601
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Country | US
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Telephone | 206-707-9366
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Fax | 844-595-7585
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Provider Business Mailing Address
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Address Line | 5914 8TH AVE NW
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City | SEATTLE
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State | WA
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Zip | 98107-2809
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Country | US
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Telephone | 510-778-5207
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Fax | 844-595-7585
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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 | ND-530
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License Number State | CA
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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 | 60059893
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License Number State | WA
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