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General NPI Number Information
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NPI Number | 1396814471
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Entity Type | Individual
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Provider Name | BEIJING MEN EAMP (L.AC.)
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 10212 5TH AVE NE 140
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City | SEATTLE
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State | WA
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Zip | 98125-7452
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Country | US
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Telephone | 206-440-1634
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Fax | 206-374-8202
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Provider Business Mailing Address
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Address Line | 10212 5TH AVE NE 140
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City | SEATTLE
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State | WA
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Zip | 98125-7452
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Country | US
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Telephone | 206-440-1634
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Fax | 206-374-8202
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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 | AC00000199
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License Number State | WA
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