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General NPI Number Information
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NPI Number | 1508197468
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Entity Type | Organization
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Legal Business Name | NECTAR ACUPUNCTURE & INTEGRATED THERAPEUTICS
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 704 WARREN AVE N
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City | SEATTLE
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State | WA
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Zip | 98109-4027
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Country | US
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Telephone | 206-291-2810
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Fax |
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Provider Business Mailing Address
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Address Line | 2808 HARRIS PL S
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City | SEATTLE
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State | WA
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Zip | 98144-5924
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Country | US
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Telephone | 206-291-2810
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST AND MASSAGE
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Name | MS. ALEXANDRA OLIVIA SOLLEK
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Credential | LAC., LMP
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Telephone | 206-291-2810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00017680
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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 | AC60062789
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License Number State | WA
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