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General NPI Number Information
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NPI Number | 1407515075
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Entity Type | Organization
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Legal Business Name | LITTLE SI ACUPUNCTURE & EAST ASIAN MEDICINE CLINIC, LLC
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 231 BENDIGO BLVD N
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City | NORTH BEND
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State | WA
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Zip | 98045-8259
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Country | US
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Telephone | 206-552-9756
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Fax |
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Provider Business Mailing Address
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Address Line | 16175 CLEVELAND ST APT 302
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City | REDMOND
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State | WA
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Zip | 98052-5415
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Country | US
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Telephone | 425-301-7466
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Fax |
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | DR. DEBBIE YU
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Credential | DAOM, L.AC
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Telephone | 260-552-9756
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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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