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General NPI Number Information
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NPI Number | 1033050638
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Entity Type | Organization
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Legal Business Name | EDELWEISS ACUPUNCTURE & WELLNESS LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 990 PARADISE RD STE LL-D
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City | SWAMPSCOTT
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State | MA
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Zip | 01907-1395
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Country | US
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Telephone | 617-807-0813
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Fax |
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Provider Business Mailing Address
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Address Line | 36 NAUGUS AVE
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City | MARBLEHEAD
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State | MA
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Zip | 01945-1551
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMMA LEE RENGEL
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Credential |
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Telephone | 781-307-2759
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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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