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General NPI Number Information
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NPI Number | 1730453267
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Entity Type | Individual
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Provider Name | SUSAN REBEKAH DEMIREL L.AC.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 2366 EASTLAKE AVE E STE 320
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City | SEATTLE
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State | WA
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Zip | 98102-3399
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Country | US
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Telephone | 206-495-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 1674 NE 185TH ST
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City | SHORELINE
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State | WA
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Zip | 98155-3939
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Country | US
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Telephone | 206-726-4289
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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 | AC60259846
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License Number State | WA
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