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General NPI Number Information
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NPI Number | 1225189459
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Entity Type | Organization
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Legal Business Name | SILVER NEEDLE ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7631 212TH ST SW SUITE C, #111
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City | EDMONDS
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State | WA
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Zip | 98026-7565
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Country | US
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Telephone | 425-712-3119
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Fax | 425-712-3119
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Provider Business Mailing Address
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Address Line | 7631 212TH ST SW SUITE C, #111
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City | EDMONDS
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State | WA
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Zip | 98026-7565
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Country | US
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Telephone | 425-712-3119
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Fax | 425-712-3119
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Authorized Official
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Title or Position | OWNER, ACUPUNCTURIST
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Name | MRS. TONG LU
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Credential | L. AC.
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Telephone | 425-712-3119
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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 | AC00000369
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License Number State | WA
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