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General NPI Number Information
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NPI Number | 1760729883
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Entity Type | Individual
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Provider Name | MEGAN ELISABETH COHEN L.AC, DIPL.OM
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Gender | Female
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 13317 NE 12TH AVE STE 115A
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City | VANCOUVER
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State | WA
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Zip | 98685-2731
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Country | US
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Telephone | 360-975-8813
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Fax |
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Provider Business Mailing Address
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Address Line | 4940 NE 28TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98663-2056
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Country | US
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Telephone | 323-481-6456
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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 | AC60566439
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License Number State | WA
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