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General NPI Number Information
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NPI Number | 1861825663
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Entity Type | Organization
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Legal Business Name | L&T CHINESE MEDICINE LLC
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 08/15/2013
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Provider Practice Location Address
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Address Line | 16515 MERIDIAN E. STE. 200B
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City | PUYALLUP
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State | WA
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Zip | 98375
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Country | US
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Telephone | 253-840-3300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 73116
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City | PUYALLUP
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State | WA
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Zip | 98373-0116
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LAC.
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Name | YIN ZHOU LIU
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Credential |
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Telephone | 253-840-3300
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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 | AC00002994
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License Number State | WA
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