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General NPI Number Information
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NPI Number | 1972933901
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Entity Type | Individual
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Provider Name | EMILY FARISH L.AC
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Gender | Female
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 18870 8TH AVE NE
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City | POULSBO
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State | WA
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Zip | 98370-6233
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Country | US
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Telephone | 510-599-2862
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Fax |
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Provider Business Mailing Address
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Address Line | 26612 BARBER CUT OFF RD NE
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City | KINGSTON
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State | WA
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Zip | 98346-9585
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Country | US
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Telephone | 510-599-2862
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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 | AC 15347
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License Number State | CA
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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 | AC60482530
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License Number State | WA
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