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NPI 1578435806

NPI 1578435806 : FIRE RABBIT ACUPUNCTURE LLC : OREGON CITY, OR

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General NPI Number Information
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    NPI Number           |    1578435806
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIRE RABBIT ACUPUNCTURE LLC 
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Dates
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    Enumeration Date     |    09/17/2025
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    Last Update Date     |    09/17/2025
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Provider Practice Location Address
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    Address Line         |    1515 7TH ST STE A 
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    City                 |    OREGON CITY
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    State                |    OR
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    Zip                  |    97045-2079
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    Country              |    US
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    Telephone            |    541-708-1163
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1515 7TH ST STE A 
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    City                 |    OREGON CITY
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    State                |    OR
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    Zip                  |    97045-2079
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    COFOUNDER
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    Name                 |     ZACHARY  KREBS 
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    Credential           |    L.AC
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    Telephone            |    541-499-8025
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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       |    
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    License Number State |    
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