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General NPI Number Information
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NPI Number | 1063561199
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Entity Type | Individual
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Provider Name | SUSAN CHRISTINE ARIMA LIC. ACUPUNCTURITST
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 101 N 4TH AVE #103
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City | SANDPOINT
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State | ID
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Zip | 83864-1361
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Country | US
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Telephone | 208-255-2989
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Fax |
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Provider Business Mailing Address
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Address Line | 217 CEDAR ST PMB#170
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City | SANDPOINT
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State | ID
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Zip | 83864-1410
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Country | US
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Telephone | 208-255-2989
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | ACU49
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License Number State | ID
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