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General NPI Number Information
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NPI Number | 1881135515
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Entity Type | Individual
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Provider Name | KENDALL MCANALLY LAC
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Gender | Female
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 100 E 19TH ST STE 500
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City | VANCOUVER
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State | WA
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Zip | 98663-3385
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Country | US
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Telephone | 360-313-6465
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 NE 136TH AVE APT 155
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City | VANCOUVER
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State | WA
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Zip | 98684-5970
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Country | US
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Telephone | 512-906-8685
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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 | 61529334
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License Number State | WA
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