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General NPI Number Information
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NPI Number | 1568685642
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Entity Type | Individual
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Provider Name | ALEXANDRA O SOLLEK LMP, LAC.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 02/02/2011
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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 | 206-400-7911
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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 |
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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 | 174400000X
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Taxonomy Name | Specialist
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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 | AC6006789
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License Number State | WA
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