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General NPI Number Information
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NPI Number | 1295029320
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Entity Type | Organization
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Legal Business Name | MA'S ACUPUNCTURE & CHINESE MEDICINE, INC
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 1115 N 81ST ST
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City | SEATTLE
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State | WA
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Zip | 98103-4402
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Country | US
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Telephone | 206-527-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 N 81ST ST
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City | SEATTLE
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State | WA
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Zip | 98103-4402
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Country | US
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Telephone | 206-527-0033
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHOUCHUN MA
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Credential | L. ACUPUNCTURIST
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Telephone | 206-527-0033
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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 | AC00000091
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License Number State | WA
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