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General NPI Number Information
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NPI Number | 1053862664
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Entity Type | Organization
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Legal Business Name | TAI CHI ACUPUNCTURE
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 6850 35TH AVE NE STE 1
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City | SEATTLE
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State | WA
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Zip | 98115-7344
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Country | US
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Telephone | 206-528-4678
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Fax |
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Provider Business Mailing Address
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Address Line | 6850 35TH AVE NE STE 1
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City | SEATTLE
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State | WA
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Zip | 98115-7344
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, ACUPUNCTURIST
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Name | DR. XIAOSONG WANG
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Credential |
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Telephone | 206-528-4678
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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 | ACUP.AC.60630024
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License Number State | WA
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