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NPI 1255518973

NPI 1255518973 : DANIEL LEWIS ALTSCHULER LAC, PH.D : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1255518973
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL LEWIS ALTSCHULER LAC, PH.D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/24/2008
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    Last Update Date     |    10/04/2019
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Provider Practice Location Address
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    Address Line         |    4110 STONE WAY N 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98103-8000
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    Country              |    US
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    Telephone            |    206-388-8557
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    Fax                  |    888-388-3360
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Provider Business Mailing Address
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    Address Line         |    3803 NE 94TH ST 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98115-3754
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    Country              |    US
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    Telephone            |    206-388-8557
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    Fax                  |    888-388-3360
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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       |    AC00003011
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    License Number State |    WA
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