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General NPI Number Information
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NPI Number | 1730502501
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Entity Type | Individual
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Provider Name | STEPHEN BOGERT L AC, CH
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Gender | Male
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 1116 KEY ST STE 106
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City | BELLINGHAM
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State | WA
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Zip | 98225-5232
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Country | US
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Telephone | 360-756-9793
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Fax | 360-752-9007
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Provider Business Mailing Address
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Address Line | 1116 KEY ST STE 106
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City | BELLINGHAM
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State | WA
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Zip | 98225-5232
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Country | US
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Telephone | 360-756-9793
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Fax | 360-752-9007
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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 | AC60437922
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | HP60239225
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License Number State | WA
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