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NPI 1013600071

NPI 1013600071 : CAROL RIGGS LIGON : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1013600071
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    Entity Type          |    Individual 
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    Provider Name        |    CAROL RIGGS LIGON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/26/2023
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    Last Update Date     |    05/26/2023
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Provider Practice Location Address
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    Address Line         |    200 E JOPPA RD STE 207 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21286-3107
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    Country              |    US
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    Telephone            |    410-296-4222
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    408 E 28TH ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21218-4425
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    Country              |    US
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    Telephone            |    443-875-9811
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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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Taxonomy #2
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    UO2899
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    License Number State |    MD
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