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General NPI Number Information
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NPI Number | 1013175892
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Entity Type | Organization
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Legal Business Name | AWAKENING LOTUS HEALTH CARE, INC.
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 9900 SW WILSHIRE ST STE 190-A
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City | PORTLAND
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State | OR
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Zip | 97225-5035
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Country | US
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Telephone | 502-422-7455
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Fax | 503-297-3827
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Provider Business Mailing Address
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Address Line | 9900 SW WILSHIRE ST STE 190-A
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City | PORTLAND
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State | OR
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Zip | 97225-5035
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Country | US
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Telephone | 502-422-7455
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Fax | 503-297-3827
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DAWN-STARR CROWTHER
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Credential | LAC, LMT, DIPL AC
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Telephone | 503-422-7455
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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 | AC00731
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License Number State | OR
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