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General NPI Number Information
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NPI Number | 1376770180
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Entity Type | Individual
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Provider Name | LINDSAY R HERRERA LAC, LMP
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Gender | Female
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 06/18/2009
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Provider Practice Location Address
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Address Line | 1610 GROVER ST SUITE B-2
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City | LYNDEN
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State | WA
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Zip | 98264-1539
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Country | US
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Telephone | 360-540-2206
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Fax |
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Provider Business Mailing Address
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Address Line | 2012 LARRABEE AVE
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City | BELLINGHAM
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State | WA
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Zip | 98225-7212
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Country | US
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Telephone | 360-540-2206
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC 60013071
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | MA 00023479
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License Number State | WA
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