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General NPI Number Information
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NPI Number | 1043004146
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Entity Type | Organization
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Legal Business Name | BALANCED ELEMENTS ACUPUNCTURE & CHINESE HERBAL MEDICINE
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 15314 4TH AVE SW STE A
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City | BURIEN
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State | WA
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Zip | 98166-2340
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Country | US
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Telephone | 206-678-5247
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Fax |
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Provider Business Mailing Address
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Address Line | 654 SW 130TH ST
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City | BURIEN
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State | WA
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Zip | 98146-3232
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Country | US
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Telephone | 206-678-5247
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/ACUPUNCTURIST
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Name | DIONEA S NADIR
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Credential | L.AC
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Telephone | 206-678-5247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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