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NPI Code Detail

MEDICARE: BARBARA PAUL MAC,LAC

MEDICARE: BARBARA PAUL MAC,LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC00000172WA

General Provider Information

NPI Number : 1063568350
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA PAUL MAC,LAC
Provider Business Mailing Address
First Line : 303 VERA ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-5251
Country : US
Telephone Number : 360-336-6809
Fax Number :
Provider Business Practice Location Address
First Line : 303 VERA ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-5251
Country : US
Telephone Number : 360-336-6809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 07/08/2007

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Directions to “ BARBARA PAUL MAC,LAC” Practice Location

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