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General NPI Number Information
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NPI Number | 1720103328
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND BODY ALIGNMENT CENTER
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5310 138TH ST E
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City | TACOMA
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State | WA
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Zip | 98446-4124
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Country | US
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Telephone | 253-576-8278
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Fax | 253-262-2208
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Provider Business Mailing Address
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Address Line | 13210 MERIDIAN E #C-102, PMB #218
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City | PUYALLUP
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State | WA
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Zip | 98373-5629
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Country | US
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Telephone | 253-576-8278
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Fax | 253-262-2208
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | BRENDA JOYCE DUZAN
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Credential | RN, L.AC
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Telephone | 253-576-8278
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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 | AC00000485
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 00013563
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License Number State | WA
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