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General NPI Number Information
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NPI Number | 1124563440
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Entity Type | Organization
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Legal Business Name | ARIA WALKER, LAC
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 1235 SE DIVISION ST SUITE 206
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City | PORTLAND
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State | OR
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Zip | 97202-1099
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Country | US
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Telephone | 503-446-1960
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Fax | 888-653-7244
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Provider Business Mailing Address
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Address Line | 1235 SE DIVISION ST SUITE 206
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City | PORTLAND
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State | OR
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Zip | 97202-1099
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Country | US
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Telephone | 503-446-1960
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Fax | 888-653-7244
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Authorized Official
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Title or Position | OWNER ACUPUNCTURIST
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Name | RACHELLE ARIA WALKER
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Credential | L.AC.
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Telephone | 503-446-1960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | AC167797
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License Number State | OR
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