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General NPI Number Information
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NPI Number | 1568856193
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Entity Type | Organization
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Legal Business Name | ESSENTIAL ACUPUNCTURE
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 7815 GREENWOOD AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-4633
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Country | US
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Telephone | 206-706-7575
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Fax | 360-363-4041
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Provider Business Mailing Address
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Address Line | 7815 GREENWOOD AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-4633
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Country | US
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Telephone | 206-706-7575
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Fax | 360-363-4041
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Authorized Official
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Title or Position | OWNER/CHAIR
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Name | MR. YOUNGKWAN KIM
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Credential | EAMP L.AC
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Telephone | 206-706-7575
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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 | AC60126401
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License Number State | WA
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