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General NPI Number Information
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NPI Number | 1538583257
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Entity Type | Organization
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Legal Business Name | MANY PATHS ACUPUNCTURE, PC
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Dates
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Enumeration Date | 02/17/2014
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Last Update Date | 02/17/2014
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Provider Practice Location Address
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Address Line | 700 PROSPECT ST SUITE 101
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City | PORT ORCHARD
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State | WA
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Zip | 98366-5399
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Country | US
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Telephone | 360-621-8310
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Fax | 866-313-4004
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Provider Business Mailing Address
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Address Line | 700 PROSPECT ST SUITE 101
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City | PORT ORCHARD
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State | WA
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Zip | 98366-5399
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Country | US
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Telephone | 360-621-8310
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Fax | 866-313-4004
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK DUHAMEL
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Credential | E.A.M.P.
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Telephone | 360-621-8310
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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 | AC00002491
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License Number State | WA
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