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General NPI Number Information
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NPI Number | 1902107410
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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 | 11/15/2010
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 17528 MERIDIAN E SUITE 207
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City | PUYALLUP
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State | WA
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Zip | 98375-6286
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Country | US
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Telephone | 253-973-6858
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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 | 253-973-6858
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TING ZHANG
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Credential | LAC
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Telephone | 206-696-2920
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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 |
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License Number State | WA
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