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General NPI Number Information
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NPI Number | 1174774848
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Entity Type | Individual
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Provider Name | KELLY MARIE DUVENDACK L.AC.
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Gender | Female
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 01/19/2025
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Provider Practice Location Address
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Address Line | 10350 N VANCOUVER WAY # 235
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City | PORTLAND
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State | OR
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Zip | 97217-7530
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Country | US
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Telephone | 503-504-9819
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Fax |
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Provider Business Mailing Address
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Address Line | 10350 N VANCOUVER WAY # 235
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City | PORTLAND
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State | OR
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Zip | 97217-7530
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Country | US
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Telephone | 971-770-2505
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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 | 01208
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License Number State | OR
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