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General NPI Number Information
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NPI Number | 1952176620
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Entity Type | Organization
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Legal Business Name | NAMAYASTE WELLNESS LLC
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Dates
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Enumeration Date | 11/22/2023
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 1322 LAKE WASHINGTON BLVD N UNIT 3
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City | RENTON
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State | WA
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Zip | 98056-0703
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Country | US
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Telephone | 425-271-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 1322 LAKE WASHINGTON BLVD N UNIT 3
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City | RENTON
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State | WA
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Zip | 98056-0703
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Country | US
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Telephone | 310-770-5322
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IKEMEFUNA UDEZE
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Credential |
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Telephone | 310-770-5322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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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 | 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 #3
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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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