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General NPI Number Information
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NPI Number | 1952948952
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Entity Type | Individual
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Provider Name | JENNIFER COOMES DCN, CDN
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Gender | Female
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Dates
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Enumeration Date | 12/09/2019
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 22845 SE 1ST PL APT 405
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City | SAMMAMISH
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State | WA
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Zip | 98074-5038
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Country | US
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Telephone | 425-505-3090
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Fax |
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Provider Business Mailing Address
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Address Line | 22845 SE 1ST PL APT 405
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City | SAMMAMISH
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State | WA
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Zip | 98074-5038
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Country | US
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Telephone | 425-505-3090
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | NU61007385
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | NU61007385
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | DI61564208
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License Number State | WA
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