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General NPI Number Information
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NPI Number | 1649069287
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Entity Type | Organization
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Legal Business Name | ACU HEALTH CLINIC LLC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 6405 218TH ST SW STE 304
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City | MOUNTLAKE TERRACE
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State | WA
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Zip | 98043-2180
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Country | US
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Telephone | 206-316-5718
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Fax |
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Provider Business Mailing Address
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Address Line | 6405 218TH ST SW STE 304
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City | MOUNTLAKE TERRACE
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State | WA
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Zip | 98043-2180
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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 | OWNER
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Name | MRS. TIEYAN SHANG
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Credential | ACUPUNCTURIST
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Telephone | 513-488-6254
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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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