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General NPI Number Information
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NPI Number | 1891120036
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND WELLNESS CENTER
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 18870 8TH AVE NE S-108
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City | POULSBO
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State | WA
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Zip | 98370-6233
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Country | US
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Telephone | 360-394-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 20145 VIKINGS CRST NE #3-204
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City | POULSBO
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State | WA
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Zip | 98370-7686
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Country | US
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Telephone | 910-233-8336
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MRS. THUY THI LE NGUYEN
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Credential |
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Telephone | 360-394-4357
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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 | AC60371584
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License Number State | WA
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