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General NPI Number Information
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NPI Number | 1851682132
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE GARDEN PLLC
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Dates
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Enumeration Date | 04/21/2011
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 2205 W. WOODIN AVE.
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City | CHELAN
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State | WA
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Zip | 98816-9148
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Country | US
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Telephone | 509-888-7370
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2308
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City | CHELAN
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State | WA
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Zip | 98816-2308
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Country | US
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Telephone | 509-888-7370
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE FREEMAN
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Credential | DAOM
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Telephone | 509-888-7370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AC60209135
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License Number State | WA
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