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General NPI Number Information
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NPI Number | 1003431552
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Entity Type | Organization
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Legal Business Name | ACUWELL ACUPUNCTURE
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 1379 RT 28A
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City | CATAUMET
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State | MA
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Zip | 02534-1079
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Country | US
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Telephone | 508-457-5855
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 667
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City | CATAUMET
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State | MA
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Zip | 02534-0667
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Country | US
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Telephone | 617-571-9577
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Fax |
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Authorized Official
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Title or Position | EXECUTOR/EMPLOYEE
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Name | DAFNEY SHUFELT
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Credential | LIC.AC.
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Telephone | 508-457-5855
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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 |
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License Number State |
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