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General NPI Number Information
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NPI Number | 1215638218
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Entity Type | Organization
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Legal Business Name | MERCER ISLAND ACUPUNCTURE & ORIENTAL MEDICINE
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 2955 80TH AVE SE STE 108
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City | MERCER ISLAND
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State | WA
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Zip | 98040-2960
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Country | US
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Telephone | 206-335-8856
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Fax | 206-209-2068
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Provider Business Mailing Address
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Address Line | 2955 80TH AVE SE STE 108
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City | MERCER ISLAND
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State | WA
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Zip | 98040-2960
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Country | US
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Telephone | 206-335-8856
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Fax | 206-209-2068
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Authorized Official
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Title or Position | PROVIDER
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Name | YING WANG
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Credential | LA.C
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Telephone | 206-335-8856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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