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General NPI Number Information
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NPI Number | 1487002713
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Entity Type | Individual
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Provider Name | KIRSTEN MARIE THOMASSEN EAMP, L.AC., DIPL.AC
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Gender | Female
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 9951 MICKELBERRY RD NW SUITE 215
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City | SILVERDALE
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State | WA
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Zip | 98383-8309
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Country | US
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Telephone | 206-245-6119
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Fax |
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Provider Business Mailing Address
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Address Line | 7701 WESTERLY LN NE
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-2698
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Country | US
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Telephone | 206-245-6119
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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 | AC 60354712
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 5401000102
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License Number State | MI
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