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General NPI Number Information
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NPI Number | 1578776605
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Entity Type | Individual
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Provider Name | TRISTIN MCLAREN L.AC.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 15630 MAIN ST NE
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City | DUVALL
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State | WA
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Zip | 98019
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Country | US
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Telephone | 425-233-8070
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 513
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City | DUVALL
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State | WA
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Zip | 98019-0513
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Country | US
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Telephone | 425-233-8070
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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 | AC00002970
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License Number State | WA
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