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General NPI Number Information
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NPI Number | 1912851684
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Entity Type | Organization
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Legal Business Name | EXPERIENCE WELLBEING, PLLC
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 6410 NE 182ND ST COTTAGE
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City | KENMORE
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State | WA
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Zip | 98028-4813
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Country | US
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Telephone | 425-676-4610
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4172
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City | EVERETT
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State | WA
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Zip | 98204-0018
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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 | OWNER
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Name | EILEEN ZAYAS-MONTILLA
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Credential | CN
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Telephone | 564-676-4610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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