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General NPI Number Information
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NPI Number | 1619480050
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Entity Type | Individual
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Provider Name | VANESSA HAJJE LAC.
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Gender | Female
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 300 E HERSEY ST
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City | ASHLAND
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State | OR
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Zip | 97520-5200
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Country | US
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Telephone | 541-951-9949
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Fax |
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Provider Business Mailing Address
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Address Line | 708 CLAY ST
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City | ASHLAND
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State | OR
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Zip | 97520-1420
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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 |
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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 | AC161643
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License Number State | OR
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