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General NPI Number Information
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NPI Number | 1013486414
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Entity Type | Organization
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Legal Business Name | ALTCARE COMMUNITY NATURAL HEALTH & ACUPUNCTURE
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Dates
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Enumeration Date | 11/15/2018
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 2005 E GREENVILLE ST STE 107
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City | ANDERSON
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State | SC
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Zip | 29621-1575
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Country | US
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Telephone | 864-378-4747
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Fax | 864-507-2253
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Provider Business Mailing Address
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Address Line | 2005 E GREENVILLE ST STE 107
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City | ANDERSON
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State | SC
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Zip | 29621-1575
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Country | US
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Telephone | 864-378-4747
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Fax | 864-507-2253
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Authorized Official
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Title or Position | ACUPUNCTURIST AND OWNER
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Name | DR. JAMES CHRISTOPHER KAPETANAKOS
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Credential | D.O.M. LAC
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Telephone | 864-346-5683
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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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