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General NPI Number Information
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NPI Number | 1972834810
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Entity Type | Organization
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Legal Business Name | SEATTLE NATURE CURE CLINIC
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 6752 ALONZO ST NW
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City | SEATTLE
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State | WA
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Zip | 98117
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Country | US
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Telephone | 206-588-1061
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Fax | 206-297-6118
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Provider Business Mailing Address
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Address Line | 1421 NW 70TH ST
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City | SEATTLE
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State | WA
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Zip | 98117
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Country | US
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Telephone | 206-588-1061
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Fax | 206-297-6118
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MASAHIRO TAKAKURA
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Credential | N.D., C.D., L.AC
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Telephone | 206-588-1061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH34639
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License Number State | WA
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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 | AC2275
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT1222
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License Number State | WA
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