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General NPI Number Information
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NPI Number | 1912249111
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Entity Type | Individual
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Provider Name | HANA LURIE
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Gender | Female
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 1498 SOLANO AVE
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City | ALBANY
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State | CA
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Zip | 94706-2148
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Country | US
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Telephone | 510-575-9299
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8459
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City | PORTLAND
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State | OR
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Zip | 97207-8459
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Country | US
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Telephone | 503-238-0769
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC18884
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License Number State | CA
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