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General NPI Number Information
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NPI Number | 1023711850
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Entity Type | Organization
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Legal Business Name | PINS AND NEEDLES ACUPUNCTURE AND HERBS
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 4737 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60640-7758
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Country | US
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Telephone | 773-456-2557
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Fax |
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Provider Business Mailing Address
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Address Line | 3255 W EASTWOOD AVE APT 3
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City | CHICAGO
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State | IL
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Zip | 60625-8581
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Country | US
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Telephone | 773-456-2557
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW KERR
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Credential | LAC
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Telephone | 773-456-2557
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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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