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General NPI Number Information
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NPI Number | 1982252391
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Entity Type | Individual
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Provider Name | BLAKE DENNIS ND
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Gender | Male
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 1100 NW 50TH ST
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City | SEATTLE
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State | WA
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Zip | 98107-5119
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Country | US
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Telephone | 206-899-8978
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Fax | 206-455-7872
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Provider Business Mailing Address
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Address Line | 2528 NE 107TH ST
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City | SEATTLE
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State | WA
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Zip | 98125-6708
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Country | US
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Telephone | 206-427-2797
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Fax | 206-455-7872
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT60911568
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License Number State | WA
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