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General NPI Number Information
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NPI Number | 1083778922
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Entity Type | Individual
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Provider Name | ZHAOXUE LU LAC
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Gender | Male
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 1125 NW 9TH AVENUE, SUITE 107B
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City | PORTLAND
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State | OR
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Zip | 97210-2766
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Country | US
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Telephone | 503-227-9898
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Fax | 503-227-5590
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Provider Business Mailing Address
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Address Line | 1125 NW 9TH AVE APT 107B
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City | PORTLAND
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State | OR
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Zip | 97209-2865
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Country | US
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Telephone | 503-701-4989
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Fax | 503-257-6472
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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 | AC00794
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License Number State | OR
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