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General NPI Number Information
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NPI Number | 1265992960
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Entity Type | Organization
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Legal Business Name | AERMID ACUPUNCTURE
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 03/18/2020
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Provider Practice Location Address
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Address Line | 226 S ORCAS ST
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City | SEATTLE
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State | WA
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Zip | 98108-2407
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Country | US
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Telephone | 253-234-4296
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Fax | 206-693-2786
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Provider Business Mailing Address
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Address Line | 2225 SW 103RD PL
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City | SEATTLE
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State | WA
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Zip | 98146-1340
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Country | US
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Telephone | 206-693-2499
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Fax | 206-693-2786
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Authorized Official
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Title or Position | OWNER
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Name | MR. EUGENE LEE MAHONEY
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Credential | LAC, EAMP
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Telephone | 206-693-2499
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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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