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General NPI Number Information
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NPI Number | 1104730308
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Entity Type | Individual
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Provider Name | FALENA MARTINE BENTABOU
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Gender | Female
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 1705 MAIN ST
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City | FREELAND
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State | WA
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Zip | 98249-9423
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Country | US
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Telephone | 360-320-9094
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1237
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City | FREELAND
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State | WA
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Zip | 98249-1237
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Country | US
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Telephone | 360-331-2225
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Fax | 360-331-2202
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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 | ACUP.AC.70169850
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License Number State | WA
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