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General NPI Number Information
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NPI Number | 1033477252
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Entity Type | Individual
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Provider Name | KATHRIN CLAIRE MUNGER L.AC.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2012
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 6 CAMINO OTERO
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City | TUBAC
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State | AZ
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Zip | 85646-4336
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Country | US
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Telephone | 520-403-7347
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4336
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City | TUBAC
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State | AZ
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Zip | 85646-4336
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Country | US
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Telephone | 520-403-7347
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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 | 0135
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License Number State | AZ
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