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General NPI Number Information
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NPI Number | 1679928006
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Entity Type | Individual
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Provider Name | ANNA MARIE GRAKLANOFF ND, LAC
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Gender | Female
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 11/13/2019
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Provider Practice Location Address
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Address Line | 104 23RD AVE SE
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City | PUYALLUP
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State | WA
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Zip | 98372-4527
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Country | US
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Telephone | 253-268-2170
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Fax |
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Provider Business Mailing Address
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Address Line | 19032 68TH ST E
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City | BONNEY LAKE
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State | WA
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Zip | 98391-8828
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Country | US
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Telephone | 303-519-4699
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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 | AC 60650363
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License Number State | WA
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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 | NT60728390
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License Number State | WA
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