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General NPI Number Information
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NPI Number | 1467908848
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Entity Type | Organization
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Legal Business Name | FOX POINT ACUPUNCTURE AND WELLNESS
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 08/26/2016
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Provider Practice Location Address
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Address Line | 4143 SE HARRISON ST
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City | MILWAUKIE
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State | OR
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Zip | 97222-5859
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Country | US
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Telephone | 503-828-9003
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Fax |
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Provider Business Mailing Address
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Address Line | 3529 SE MADISON ST
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City | PORTLAND
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State | OR
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Zip | 97214-4254
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Country | US
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Telephone | 503-679-4128
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Fax |
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Authorized Official
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Title or Position | OWNER, OPERATOR
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Name | SIBYL VOELKER
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Credential | LAC, MACOM
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Telephone | 503-828-9003
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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 | 175010
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License Number State | OR
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