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General NPI Number Information
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NPI Number | 1932623055
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Entity Type | Organization
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Legal Business Name | ANU HEALTHCARE PC
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1205 WALLACE RD NW
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City | SALEM
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State | OR
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Zip | 97304-3007
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Country | US
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Telephone | 503-839-6285
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 WALLACE RD NW
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City | SALEM
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State | OR
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Zip | 97304-3007
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Country | US
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Telephone | 503-839-6285
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST/OWNER
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Name | TAMMY ANDERSON
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Credential | L.AC.
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Telephone | 503-839-6285
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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 | 178928
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License Number State | OR
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