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NPI 1407814767

NPI 1407814767 : LISE JANE HARRINGTON D.C., L.A.C. : NEWPORT, WA

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General NPI Number Information
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    NPI Number           |    1407814767
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    Entity Type          |    Individual 
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    Provider Name        |    LISE JANE HARRINGTON D.C., L.A.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/03/2006
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    Last Update Date     |    02/03/2022
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Provider Practice Location Address
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    Address Line         |    405 W WALNUT ST STE 1 
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    City                 |    NEWPORT
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    State                |    WA
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    Zip                  |    99156-9388
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    Country              |    US
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    Telephone            |    509-996-5884
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    Fax                  |    509-260-2076
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1619 
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    City                 |    NEWPORT
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    State                |    WA
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    Zip                  |    99156-1619
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    Country              |    US
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    Telephone            |    509-996-5884
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    Fax                  |    509-260-2076
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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       |    60713118
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    60701250
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    License Number State |    WA
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