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General NPI Number Information
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NPI Number | 1932530706
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE CENTER, P. S.
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Dates
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Enumeration Date | 12/04/2013
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Last Update Date | 12/04/2013
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Provider Practice Location Address
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Address Line | 27121 174TH PL SE STE 102
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City | COVINGTON
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State | WA
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Zip | 98042-4939
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Country | US
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Telephone | 949-310-8001
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Fax |
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Provider Business Mailing Address
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Address Line | 27121 174TH PL SE STE 102
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City | COVINGTON
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State | WA
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Zip | 98042-4939
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | EDWARD LILI CHENG
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Credential | L.AC
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Telephone | 949-310-8001
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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 | AC60302377
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License Number State | WA
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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 | AC60302372
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License Number State | WA
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