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General NPI Number Information
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NPI Number | 1932908951
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Entity Type | Organization
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Legal Business Name | ALPINE TCM
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 12006 98TH AVE NE STE 103
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City | KIRKLAND
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State | WA
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Zip | 98034-4218
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Country | US
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Telephone | 425-448-9619
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Fax | 425-448-9455
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Provider Business Mailing Address
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Address Line | 2528 241ST PL SW
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City | BRIER
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State | WA
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Zip | 98036-8427
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Country | US
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Telephone | 425-830-0358
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. NICHOLE MICHELLE SANTORO
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Credential | LAC
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Telephone | 425-830-0358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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