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General NPI Number Information
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NPI Number | 1003331364
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Entity Type | Organization
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Legal Business Name | BEST ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 08/08/2017
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Provider Practice Location Address
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Address Line | 566 GOERIG ST
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City | WOODLAND
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State | WA
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Zip | 98674-9442
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Country | US
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Telephone | 360-841-7558
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Fax | 888-974-6529
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Provider Business Mailing Address
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Address Line | PO BOX 976
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City | WOODLAND
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State | WA
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Zip | 98674-1000
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Country | US
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Telephone | 360-841-7558
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Fax | 888-974-6529
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIM M BLAUFUSS
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Credential | EAMP
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Telephone | 360-841-7558
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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 | AC60251668
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License Number State | WA
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