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General NPI Number Information
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NPI Number | 1245543644
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE IN VANCOUVER INC.
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 615 SE CHKALOV DR
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City | VANCOUVER
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State | WA
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Zip | 98683-5279
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Country | US
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Telephone | 360-885-1767
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Fax |
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Provider Business Mailing Address
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Address Line | 615 SE CHKALOV DR
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City | VANCOUVER
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State | WA
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Zip | 98683-5279
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Country | US
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Telephone | 360-885-1767
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEPHANIE WHITCHURCH
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Credential |
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Telephone | 503-998-4014
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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 | AC00002377
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License Number State | WA
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