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General NPI Number Information
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NPI Number | 1922132448
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Entity Type | Individual
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Provider Name | JENNIFER A MCCOLLUM N.D.
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1800 SW 152ND ST SUITE 203A
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City | BURIEN
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State | WA
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Zip | 98166-1700
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Country | US
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Telephone | 206-838-3878
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Fax |
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Provider Business Mailing Address
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Address Line | 2157 N 147TH ST
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City | SHORELINE
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State | WA
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Zip | 98133-6707
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Country | US
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Telephone | 206-362-1346
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Fax |
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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 | NT00001190
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License Number State | WA
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