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General NPI Number Information
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NPI Number | 1568873867
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Entity Type | Individual
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Provider Name | MARIE ARVOLA L.AC.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2014
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Last Update Date | 05/08/2014
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Provider Practice Location Address
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Address Line | 509 OLIVE WAY SUITE 803
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City | SEATTLE
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State | WA
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Zip | 98101-1720
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Country | US
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Telephone | 206-624-0397
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Fax |
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Provider Business Mailing Address
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Address Line | 215 10TH AVE E APT 249
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City | SEATTLE
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State | WA
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Zip | 98102-6124
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Country | US
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Telephone | 612-701-0454
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 60405872
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License Number State | WA
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