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General NPI Number Information
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NPI Number | 1780827477
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Entity Type | Individual
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Provider Name | BETH RUBIN LAC., LMP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2009
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Last Update Date | 07/17/2017
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Provider Practice Location Address
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Address Line | 402 NE 72ND ST SUITE 2
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City | SEATTLE
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State | WA
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Zip | 98115-5456
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Country | US
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Telephone | 206-601-7204
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Fax |
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Provider Business Mailing Address
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Address Line | 402 NE 72ND ST SUITE 2
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City | SEATTLE
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State | WA
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Zip | 98115-5456
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Country | US
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Telephone | 206-601-7204
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00021906
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC00002823
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License Number State | WA
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