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General NPI Number Information
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NPI Number | 1992073399
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Entity Type | Individual
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Provider Name | ANNA KILIONA L. AC.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 1635 OLYMPIC HWY N STE 102A
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City | SHELTON
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State | WA
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Zip | 98584-3065
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Country | US
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Telephone | 360-462-8087
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Fax |
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Provider Business Mailing Address
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Address Line | 630 SE MILL CREEK RD
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City | SHELTON
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State | WA
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Zip | 98584-9356
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Country | US
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Telephone | 808-896-2220
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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 | AC60258334
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License Number State | WA
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