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General NPI Number Information
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NPI Number | 1265691711
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Entity Type | Individual
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Provider Name | TONG LU L.AC.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 7631 212TH ST SW STE. 111-C
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City | EDMONDS
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State | WA
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Zip | 98026-7565
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Country | US
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Telephone | 425-712-3119
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Fax |
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Provider Business Mailing Address
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Address Line | 19706 N PARK AVE N
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City | SHORELINE
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State | WA
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Zip | 98133-3527
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Country | US
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Telephone | 206-546-1419
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Fax |
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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 | AC00000369
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License Number State | WA
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