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General NPI Number Information
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NPI Number | 1598197568
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Entity Type | Organization
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Legal Business Name | RAIN AND SHINE HOLISTIC HEALTHCARE LLP
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 3903 SW KELLY AVE SUITE 101
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City | PORTLAND
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State | OR
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Zip | 97239-4393
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Country | US
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Telephone | 503-227-2431
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Fax |
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Provider Business Mailing Address
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Address Line | 3903 SW KELLY AVE SUITE 101
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City | PORTLAND
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State | OR
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Zip | 97239-4393
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Country | US
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Telephone | 503-227-2431
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Fax |
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Authorized Official
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Title or Position | CO-OWNER, ACUPUNCTURIST
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Name | HAYLEY ELANA GARDNER
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Credential | LAC
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Telephone | 503-227-2431
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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 | OR
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND1669
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC151170
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License Number State | OR
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