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General NPI Number Information
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NPI Number | 1740600170
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Entity Type | Organization
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Legal Business Name | PURE HEALTH NATURAL MEDICINE LLC
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 17543 S HENRICI RD
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City | OREGON CITY
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State | OR
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Zip | 97045-9338
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Country | US
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Telephone | 503-780-5206
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Fax |
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Provider Business Mailing Address
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Address Line | 17543 S HENRICI RD
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City | OREGON CITY
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State | OR
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Zip | 97045-9338
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNE POWER
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Credential |
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Telephone | 503-780-5206
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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 | AC154596
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License Number State | OR
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