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General NPI Number Information
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NPI Number | 1003040619
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Entity Type | Organization
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Legal Business Name | EASTERN WAYS ACUPUNCTURE & HEALTH CTR PLC
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 18731 N REEMS RD SUITE 640
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City | SURPRISE
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State | AZ
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Zip | 85374-8644
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Country | US
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Telephone | 623-584-6200
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Fax | 623-584-6884
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Provider Business Mailing Address
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Address Line | 18731 N REEMS RD SUITE 640
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City | SURPRISE
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State | AZ
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Zip | 85374-8644
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Country | US
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Telephone | 623-584-6200
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Fax | 623-584-6884
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVEN SCHERMERHORN
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Credential | LAC
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Telephone | 623-584-6200
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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 | AZ0673
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License Number State | AZ
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