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General NPI Number Information
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NPI Number | 1902591589
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Entity Type | Organization
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Legal Business Name | ACEMED SEATTLE
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 5608 17TH AVE NW STE 1618
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City | SEATTLE
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State | WA
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Zip | 98107-5232
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Country | US
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Telephone | 360-447-8486
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Fax |
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Provider Business Mailing Address
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Address Line | 5608 17TH AVE NW STE 1618
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City | SEATTLE
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State | WA
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Zip | 98107-5232
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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 | CLINIC DIRECTOR
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Name | DR. DAYNE SULLIVAN
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Credential | ND
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Telephone | 480-490-2035
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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 |
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License Number State |
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