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General NPI Number Information
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NPI Number | 1992050561
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Entity Type | Organization
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Legal Business Name | SNOHOMISH NATUROPATHIC CLINIC
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 1101 AVENUE D STE D103
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City | SNOHOMISH
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State | WA
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Zip | 98290-2083
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Country | US
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Telephone | 360-568-2686
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Fax | 360-862-8016
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Provider Business Mailing Address
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Address Line | 1101 AVENUE D STE D103
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City | SNOHOMISH
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State | WA
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Zip | 98290-2083
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Country | US
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Telephone | 360-568-2686
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Fax | 360-862-8016
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Authorized Official
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Title or Position | OWNER, NATUROPATHIC PHYSICIAN
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Name | DR. ALLISON NOVINS
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Credential | ND
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Telephone | 360-568-2686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC60114039
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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 | AC60043303
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA00005225
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT00001596
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT00001616
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT00001021
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License Number State | WA
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