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General NPI Number Information
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NPI Number | 1568821478
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Entity Type | Organization
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Legal Business Name | WEST SEATTLE ACUPUNCTURE
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Dates
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Enumeration Date | 02/19/2016
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 5410 CALIFORNIA AVE SW 203
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City | SEATTLE
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State | WA
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Zip | 98136-1562
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Country | US
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Telephone | 206-923-2053
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Fax | 206-466-6656
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Provider Business Mailing Address
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Address Line | 5410 CALIFORNIA AVE SW STE 202
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City | SEATTLE
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State | WA
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Zip | 98136-1562
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Country | US
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Telephone | 206-923-2053
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Fax | 206-466-6656
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Authorized Official
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Title or Position | OWNER
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Name | SYDNEY FIELD BALE
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Credential | MSAOM
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Telephone | 206-923-2053
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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 | 540
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License Number State | WA
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