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General NPI Number Information
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NPI Number | 1881862860
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Entity Type | Individual
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Provider Name | KARLA BULLEN LMP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 9508 CANYON RD E
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City | PUYALLUP
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State | WA
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Zip | 98371-6302
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Country | US
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Telephone | 253-230-9845
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Fax | 253-537-8504
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Provider Business Mailing Address
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Address Line | 14301 25TH AVENUE CT E
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City | TACOMA
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State | WA
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Zip | 98445-4923
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Country | US
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Telephone | 253-230-9845
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Fax | 253-537-8504
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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 | 175L00000X
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Taxonomy Name | Homeopath
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License Number | MA00017611
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License Number State | WA
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