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General NPI Number Information
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NPI Number | 1235485814
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Entity Type | Individual
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Provider Name | JOSEPH ROTHSTEIN L.AC., DIPL.O.M.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 1519 9TH ST SUITE 103
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City | MARYSVILLE
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State | WA
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Zip | 98270-4600
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Country | US
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Telephone | 360-653-2526
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Fax | 360-363-6699
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Provider Business Mailing Address
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Address Line | 1519 9TH ST SUITE 103
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City | MARYSVILLE
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State | WA
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Zip | 98270-4600
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Country | US
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Telephone | 360-653-2526
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Fax | 360-363-6699
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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 | 0910077315
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License Number State | VT
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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 | AC 60343617
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License Number State | WA
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