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General NPI Number Information
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NPI Number | 1053503367
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Entity Type | Individual
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Provider Name | JANET E TRAVIS LAC
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Gender | Female
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 02/25/2012
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Provider Practice Location Address
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Address Line | 13 ORCHARD VIEW DR ACUPUNCTURE SERVICES OF NEW ENGLAND, SUITE 7, BOX 6
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City | LONDONDERRY
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State | NH
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Zip | 03053-3457
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Country | US
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Telephone | 603-490-8260
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Fax | 603-434-5339
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Provider Business Mailing Address
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Address Line | 31 SUGAR PLUM LN
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City | LONDONDERRY
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State | NH
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Zip | 03053-3300
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Country | US
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Telephone | 603-490-8260
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Fax | 603-434-5339
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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 | 077
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License Number State | NH
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