Healthcare Provider Details

I. General information

NPI: 1396321162
Provider Name (Legal Business Name): DAWN ELIZABETH TAUNTON ACUPUNCTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 11/09/2021
Certification Date: 11/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 STANLEY ST
FALL RIVER MA
02720-6009
US

IV. Provider business mailing address

400 STANLEY ST
FALL RIVER MA
02720-6009
US

V. Phone/Fax

Practice location:
  • Phone: 508-675-1054
  • Fax: 508-324-7777
Mailing address:
  • Phone: 508-679-5222
  • Fax: 508-679-3182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number288211
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: