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General NPI Number Information
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NPI Number | 1407166879
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Entity Type | Individual
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Provider Name | KERI ANNE SHAW MSAOM, LAC, LMP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 1818 WESTLAKE AVE N STE 126
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City | SEATTLE
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State | WA
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Zip | 98109-2777
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Country | US
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Telephone | 206-217-8888
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Fax | 206-217-8881
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Provider Business Mailing Address
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Address Line | 4915 48TH AVE. S.
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City | SEATTLE
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State | WA
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Zip | 98118
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Country | US
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Telephone | 206-399-7638
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Fax | 206-725-4543
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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 | AC60182089
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License Number State | WA
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