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General NPI Number Information
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NPI Number | 1255719571
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Entity Type | Organization
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Legal Business Name | TAO OF HEALTH
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 210 LOPEZ RD
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City | LOPEZ ISLAND
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State | WA
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Zip | 98261-8851
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Country | US
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Telephone | 360-468-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 30 STRONGHOLD LN
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City | LOPEZ ISLAND
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State | WA
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Zip | 98261-8067
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Country | US
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Telephone | 360-298-4635
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARIELLE F MOW
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Credential | L.AC.
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Telephone | 360-298-4635
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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 | AC60537226
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License Number State | WA
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