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General NPI Number Information
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NPI Number | 1457408189
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Entity Type | Individual
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Provider Name | PATRICIA ELIZABETH ZSCHAU L.AC.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 1611 NE 16TH AVE
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City | PORTLAND
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State | OR
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Zip | 97232-1413
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Country | US
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Telephone | 503-753-3503
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Fax |
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Provider Business Mailing Address
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Address Line | 4821 NE 29TH AVE
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City | PORTLAND
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State | OR
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Zip | 97211-6358
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Country | US
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Telephone | 503-753-3503
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Fax |
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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 | AC00412
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License Number State | OR
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