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General NPI Number Information
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NPI Number | 1104178664
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Entity Type | Individual
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Provider Name | AMY SENESAC L.AC., LMT, DIPL. OM
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Gender | Female
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 916 NE 65TH ST
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City | SEATTLE
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State | WA
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Zip | 98115-5542
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Country | US
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Telephone | 206-267-0863
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Fax |
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Provider Business Mailing Address
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Address Line | 21031 101ST AVE SE
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City | KENT
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State | WA
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Zip | 98031-2060
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Country | US
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Telephone | 773-616-8828
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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 | 84000150A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA60798007
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC60797978
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License Number State | WA
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