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General NPI Number Information
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NPI Number | 1942773767
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Entity Type | Organization
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Legal Business Name | CAO & LAN ACUPUNCTURE BOTANICAL MEDICINE, L. L. C.
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 8034 35TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-4815
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Country | US
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Telephone | 206-525-1328
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Fax |
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Provider Business Mailing Address
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Address Line | 8034 35TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-4815
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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 | CLINIC DIRECTOR/PRACTITIONER
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Name | MRS. HAI LAN
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Credential | EAMP
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Telephone | 206-525-1328
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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 |
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License Number State |
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