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General NPI Number Information
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NPI Number | 1154054203
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Entity Type | Organization
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Legal Business Name | AWAKENINGS ACUPUNCTURE, PLLC
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 6522 FREMONT AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-5358
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Country | US
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Telephone | 360-376-4700
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Fax | 206-299-4449
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Provider Business Mailing Address
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Address Line | 6522 FREMONT AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-5358
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Country | US
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Telephone | 360-376-4700
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Fax | 206-299-4449
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Authorized Official
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Title or Position | EAMP, OWNER
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Name | HOLLY C BERMAN
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Credential | EAMP
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Telephone | 360-376-4700
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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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