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General NPI Number Information
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NPI Number | 1871053587
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE & WELLNESS NW, PC
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 3857 SW HALL BLVD
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City | BEAVERTON
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State | OR
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Zip | 97005-2049
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Country | US
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Telephone | 503-810-7547
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Fax |
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Provider Business Mailing Address
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Address Line | 6664 SW SUSSEX ST
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City | BEAVERTON
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State | OR
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Zip | 97008-5293
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Country | US
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Telephone | 503-810-7547
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, ACUPUNCTURIST
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Name | MICHELLE HAWKINS
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Credential |
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Telephone | 503-810-7547
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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 |
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License Number State |
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