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General NPI Number Information
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NPI Number | 1942366067
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Entity Type | Individual
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Provider Name | LESLIE ELLEN RAZNICK L.AC.
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Gender | Female
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3210 SMOKEY POINT DR SUITE #100
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City | ARLINGTON
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State | WA
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Zip | 98223-7805
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Country | US
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Telephone | 206-349-8686
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15705
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City | SEATTLE
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State | WA
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Zip | 98115-0705
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Country | US
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Telephone | 206-349-8686
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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 | AC00000741
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License Number State | WA
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