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General NPI Number Information
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NPI Number | 1124939483
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Entity Type | Organization
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Legal Business Name | HARMONY ACUPUNCTURE AND HERBS LLC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 21730 WILLAMETTE DR
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City | WEST LINN
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State | OR
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Zip | 97068-3257
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Country | US
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Telephone | 503-722-5224
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Fax |
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Provider Business Mailing Address
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Address Line | 21730 WILLAMETTE DR
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City | WEST LINN
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State | OR
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Zip | 97068-3257
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Country | US
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Telephone | 503-722-5224
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST, CEO
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Name | GARY WAGMAN
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Credential | PHD, LAC
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Telephone | 503-880-3654
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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 |
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License Number State |
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