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General NPI Number Information
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NPI Number | 1205436797
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Entity Type | Organization
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Legal Business Name | FAMILY ACUPUNCTURE & WELLNESS OF PUGET SOUND, LLC
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 4208 LEARY WAY NW
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City | SEATTLE
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State | WA
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Zip | 98107-4535
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Country | US
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Telephone | 206-992-2953
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Fax |
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Provider Business Mailing Address
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Address Line | 5219 32ND AVE S
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City | SEATTLE
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State | WA
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Zip | 98118-6105
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Country | US
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Telephone | 206-992-2953
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNIE HINES
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Credential |
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Telephone | 206-992-2953
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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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