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General NPI Number Information
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NPI Number | 1154599090
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Entity Type | Individual
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Provider Name | TIMOTHY ROBERT BLEE M.AC, L.AC
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Gender | Male
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 1120 18TH ST
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City | ANACORTES
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State | WA
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Zip | 98221-2306
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Country | US
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Telephone | 360-770-8861
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 18TH ST
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City | ANACORTES
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State | WA
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Zip | 98221-2306
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Country | US
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Telephone | 360-770-8861
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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 | 0489
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC60199210
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License Number State | WA
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