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General NPI Number Information
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NPI Number | 1891592374
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Entity Type | Organization
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Legal Business Name | LINA WELLNESS CLINIC PLLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1207 N 200TH ST STE 217
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City | SHORELINE
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State | WA
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Zip | 98133-3213
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Country | US
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Telephone | 206-485-3112
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Fax | 206-775-8759
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Provider Business Mailing Address
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Address Line | 7108 230TH ST SW
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City | MOUNTLAKE TERRACE
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State | WA
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Zip | 98043-2310
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | JU CHOE
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Credential | ARNP
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Telephone | 206-485-3112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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