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General NPI Number Information
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NPI Number | 1710703467
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Entity Type | Individual
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Provider Name | CAROLYN ARENAS LAC, AEMP
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Gender | Female
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 711 ST HELENS AVE STE 103B
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City | TACOMA
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State | WA
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Zip | 98402-3736
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Country | US
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Telephone | 253-780-2006
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Fax | 253-356-7457
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Provider Business Mailing Address
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Address Line | 319 N TACOMA AVE APT 1705
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City | TACOMA
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State | WA
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Zip | 98403-2725
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Country | US
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Telephone | 808-333-6183
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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 | AC61619814
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License Number State | WA
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