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General NPI Number Information
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NPI Number | 1821149295
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Entity Type | Individual
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Provider Name | LORI G FIELD L AC, OTR
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Gender | Female
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Dates
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Enumeration Date | 01/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12900 NE 180TH ST SUITE 100
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City | BOTHELL
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State | WA
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Zip | 98011-5773
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Country | US
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Telephone | 425-443-0831
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Fax |
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Provider Business Mailing Address
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Address Line | 17409 106TH PL NE
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City | BOTHELL
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State | WA
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Zip | 98011-3779
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Country | US
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Telephone | 425-482-2306
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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 | AC00002633
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License Number State | WA
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