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General NPI Number Information
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NPI Number | 1134716749
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Entity Type | Organization
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Legal Business Name | KARIN C NELSON LAC INC
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 17520 VASHON HWY SW STE 211
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City | VASHON
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State | WA
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Zip | 98070-4686
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Country | US
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Telephone | 206-463-0900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2960
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City | VASHON
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State | WA
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Zip | 98070-2960
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Country | US
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Telephone | 206-463-0900
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | MS. KAREN CHRISTINE NELSON
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Credential | LAC
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Telephone | 206-463-0900
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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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