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General NPI Number Information
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NPI Number | 1447656863
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Entity Type | Individual
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Provider Name | MRS. BING SU
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Gender | Female
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Dates
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Enumeration Date | 11/12/2014
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 663 S KING ST
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City | SEATTLE
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State | WA
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Zip | 98104-2937
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Country | US
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Telephone | 206-292-9646
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Fax | 206-292-9650
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Provider Business Mailing Address
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Address Line | 663 S KING ST
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City | SEATTLE
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State | WA
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Zip | 98104-2937
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Country | US
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Telephone | 206-292-9646
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Fax | 206-292-9650
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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 | AC60524137
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License Number State | WA
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