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NPI 1366940819

NPI 1366940819 : ZENOVIA HYEJIN HWANG L.AC, EAMP : SHORELINE, WA

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General NPI Number Information
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    NPI Number           |    1366940819
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    Entity Type          |    Individual 
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    Provider Name        |    ZENOVIA HYEJIN HWANG L.AC, EAMP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/30/2018
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    Last Update Date     |    04/03/2018
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Provider Practice Location Address
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    Address Line         |    18528 FIRLANDS WAY N STE B 
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    City                 |    SHORELINE
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    State                |    WA
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    Zip                  |    98133-3985
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    Country              |    US
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    Telephone            |    425-615-6188
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16414 40TH PL W 
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    City                 |    LYNNWOOD
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    State                |    WA
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    Zip                  |    98037-9023
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    Country              |    US
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    Telephone            |    206-552-8749
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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        |    174H00000X
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    Taxonomy Name        |    Health Educator
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225400000X
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    Taxonomy Name        |    Rehabilitation Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    AC60819855
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    License Number State |    WA
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