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General NPI Number Information
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NPI Number | 1598247207
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Entity Type | Individual
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Provider Name | KRISTINE MARIE MCGINLEY LAC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 100 EAST 33RD ST. STE 203A
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City | VANCOUVER
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State | WA
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Zip | 98663
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Country | US
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Telephone | 360-258-0587
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Fax | 360-253-3961
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Provider Business Mailing Address
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Address Line | 100 EAST 33RD ST. STE 203A
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City | VANCOUVER
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State | WA
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Zip | 98663
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Country | US
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Telephone | 360-258-0587
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Fax | 360-253-3961
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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 | AC60700591
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License Number State | WA
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