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General NPI Number Information
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NPI Number | 1134842164
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Entity Type | Individual
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Provider Name | ALEXANDER HUNG ND, LAC, LMT
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Gender | Male
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 7411 SE POWELL BLVD
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City | PORTLAND
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State | OR
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Zip | 97206-2451
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Country | US
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Telephone | 503-762-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 4511 SE 66TH AVE
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City | PORTLAND
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State | OR
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Zip | 97206-4501
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Country | US
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Telephone | 408-887-7960
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Fax |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 24464
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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