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General NPI Number Information
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NPI Number | 1114422045
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Entity Type | Organization
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Legal Business Name | SOLAR ACUPUNCTURE LLC
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 03/23/2018
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Provider Practice Location Address
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Address Line | 9015 HOLMAN RD NW SUITE 1 ROOM 12
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City | SEATTLE
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State | WA
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Zip | 98117
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Country | US
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Telephone | 360-660-7983
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Fax |
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Provider Business Mailing Address
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Address Line | 9015 HOLMAN RD NW SUITE 1 ROOM 12
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City | SEATTLE
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State | WA
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Zip | 98117
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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 | L.AC.
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Name | YIJUN LIANG
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Credential |
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Telephone | 360-660-7983
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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 | AC60818125
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License Number State | WA
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