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General NPI Number Information
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NPI Number | 1922886662
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Entity Type | Individual
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Provider Name | VASANA RANASINGHE LAC, DACM, MAOM, MPH
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Gender | Female
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 1801 W BROADWAY AVE STE 1
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City | SPOKANE
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State | WA
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Zip | 99201-1819
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Country | US
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Telephone | 509-838-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 2325 W 2ND AVE APT 206W
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City | SPOKANE
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State | WA
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Zip | 99201-5829
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Country | US
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Telephone | 732-718-6543
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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 | AC61473955
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License Number State | WA
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