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NPI Code Detail

MEDICARE: DANIEL VACCARI LAC

MEDICARE: DANIEL VACCARI LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistACU.0002823CO

General Provider Information

NPI Number : 1285128231
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL VACCARI LAC
Provider Business Mailing Address
First Line : 459 WINDCHIME PL
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1984
Country : US
Telephone Number : 985-778-5430
Fax Number :
Provider Business Practice Location Address
First Line : 3314 MESA RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-1036
Country : US
Telephone Number : 719-520-4988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2018
Last Update Date : 09/06/2023

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