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General NPI Number Information
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NPI Number | 1306990213
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Entity Type | Individual
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Provider Name | NANCY JURELEEN KNODE L.AC.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 02/08/2026
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Provider Practice Location Address
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Address Line | 25931 NE WASHINGTON BLVD
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City | KINGSTON
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State | WA
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Zip | 98346
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Country | US
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Telephone | 360-297-0029
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Fax | 360-638-1149
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Provider Business Mailing Address
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Address Line | PO BOX 1636
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City | KINGSTON
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State | WA
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Zip | 98346-1636
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Country | US
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Telephone | 360-297-0029
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Fax | 360-638-1149
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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 | AC00000709
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License Number State | WA
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