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General NPI Number Information
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NPI Number | 1245525062
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Entity Type | Organization
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Legal Business Name | LOTUS NATURAL HEALTH CENTER
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 1005 7TH ST
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City | ANACORTES
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State | WA
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Zip | 98221-4105
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Country | US
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Telephone | 360-293-3461
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2035
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City | ANACORTES
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State | WA
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Zip | 98221-7035
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Country | US
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Telephone | 360-293-3461
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELLEN K GEARY
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Credential | EAMP/LAC
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Telephone | 360-293-3461
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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 | 00002889
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License Number State | WA
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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 | 00001811
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 00000762
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License Number State | WA
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