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General NPI Number Information
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NPI Number | 1255991261
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Entity Type | Organization
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Legal Business Name | ORANGE POPPY 5 ELEMENT ACUPUNCTURE
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 07/28/2019
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Provider Practice Location Address
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Address Line | 9730 3RD AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-2023
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Country | US
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Telephone | 206-777-5397
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Fax |
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Provider Business Mailing Address
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Address Line | 9730 3RD AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-2023
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Country | US
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Telephone | 206-777-5397
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Fax |
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Authorized Official
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Title or Position | OWNER/ OPERATOR
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Name | ANDREA G BECKWITH
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Credential | MS EAMP
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Telephone | 206-777-5397
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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 |
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License Number State |
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