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General NPI Number Information
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NPI Number | 1932856747
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Entity Type | Organization
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Legal Business Name | AVEN MEDICAL INC
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 10564 5TH AVE NE STE 406
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City | SEATTLE
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State | WA
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Zip | 98125-7200
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Country | US
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Telephone | 206-495-0018
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Fax | 206-309-3336
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Provider Business Mailing Address
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Address Line | 10564 5TH AVE NE STE 406
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City | SEATTLE
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State | WA
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Zip | 98125-7200
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Country | US
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Telephone | 206-495-0018
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Fax | 206-309-3336
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | TRACI TAGGART
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Credential |
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Telephone | 206-495-0018
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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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