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General NPI Number Information
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NPI Number | 1134204266
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Entity Type | Individual
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Provider Name | VICTORIA LOUISE ARGO MAC OM, LAC
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 310 SW 4TH AVE. SUITE 415
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City | PORTLAND
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State | OR
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Zip | 97204
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Country | US
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Telephone | 503-515-1971
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Fax | 503-222-1819
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Provider Business Mailing Address
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Address Line | 310 SW 4TH AVE. SUITE 415
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City | PORTLAND
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State | OR
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Zip | 97204
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Country | US
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Telephone | 503-515-1971
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Fax | 503-222-1819
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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 | AC00870
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License Number State | OR
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