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General NPI Number Information
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NPI Number | 1033256680
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Entity Type | Individual
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Provider Name | AURA ROSE CMT, CBT, CST, RM
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1049 W LANCASTER AVE FL 2 BRYN MAWR ACUPUNCTURE
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City | BRYN MAWR
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State | PA
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Zip | 19010-3012
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Country | US
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Telephone | 610-265-0985
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Fax |
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Provider Business Mailing Address
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Address Line | 713 SCHOOL LINE DR
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3510
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Country | US
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Telephone | 610-265-0985
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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