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General NPI Number Information
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NPI Number | 1801164991
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Entity Type | Organization
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Legal Business Name | UNION CENTER FOR HEALING INTEGRAL
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Dates
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Enumeration Date | 12/05/2011
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 2100 E UNION ST
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City | SEATTLE
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State | WA
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Zip | 98122-2954
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Country | US
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Telephone | 206-329-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 E UNION ST
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City | SEATTLE
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State | WA
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Zip | 98122-2954
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Country | US
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Telephone | 206-329-2060
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | VICTORIA SUMMERQUIST
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Credential | L.AC. LMP
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Telephone | 206-329-2060
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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 |
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License Number State |
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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 | 0798
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License Number State | WA
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