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General NPI Number Information
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NPI Number | 1376187971
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Entity Type | Organization
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Legal Business Name | HEALING LIFE ACUPUNCTURE, PLLC
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Dates
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Enumeration Date | 11/06/2019
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 10512 NE 68TH ST STE C102
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City | KIRKLAND
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State | WA
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Zip | 98033-7002
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Country | US
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Telephone | 206-399-8581
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Fax |
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Provider Business Mailing Address
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Address Line | 10512 NE 68TH ST STE C102
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City | KIRKLAND
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State | WA
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Zip | 98033-7002
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | AKIKO MARUYAMA
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Credential | L.AC, EAMP
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Telephone | 206-399-8581
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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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