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General NPI Number Information
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NPI Number | 1467094599
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Entity Type | Organization
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Legal Business Name | ISSAQUAH ACUPUNCTURE AND HERBS
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 317 NW GILMAN BLVD STE 45
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City | ISSAQUAH
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State | WA
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Zip | 98027-2485
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Country | US
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Telephone | 425-247-8519
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Fax |
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Provider Business Mailing Address
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Address Line | 536 237TH AVE SE
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City | SAMMAMISH
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State | WA
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Zip | 98074-3629
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Country | US
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Telephone | 425-247-8519
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YANFEI HU
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Credential |
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Telephone | 425-247-8519
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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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