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General NPI Number Information
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NPI Number | 1417127374
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Entity Type | Organization
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Legal Business Name | DAOIST INSTITUTE OF HEALING ARTS INC.
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 517 SW 2ND ST
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City | CORVALLIS
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State | OR
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Zip | 97333-4884
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Country | US
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Telephone | 541-257-2140
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Fax |
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Provider Business Mailing Address
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Address Line | 2459 SE MICAH PL
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City | CORVALLIS
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State | OR
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Zip | 97333-1965
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Country | US
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Telephone | 541-908-5413
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ISAAC C HENDLER
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Credential | MAC., LAC
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Telephone | 541-908-5413
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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 | AC01156
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License Number State | OR
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