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General NPI Number Information
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NPI Number | 1073154027
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE ACUPUNCTURE
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 1526A BLEYLER ST
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City | HELLERTOWN
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State | PA
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Zip | 18055-1118
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Country | US
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Telephone | 610-770-9476
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Fax | 866-202-9017
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Provider Business Mailing Address
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Address Line | 1526A BLEYLER ST
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City | HELLERTOWN
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State | PA
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Zip | 18055-1118
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Country | US
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Telephone | 610-770-9476
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Fax | 866-202-9017
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Authorized Official
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Title or Position | OWNER
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Name | WARREN MILES
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Credential | L. AC
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Telephone | 610-770-9476
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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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