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General NPI Number Information
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NPI Number | 1073304747
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Entity Type | Organization
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Legal Business Name | THE MODERN ACUPUNCTURIST, LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 2048 WASHINGTON ST
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City | HANOVER
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State | MA
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Zip | 02339-1658
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Country | US
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Telephone | 781-650-0484
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Fax |
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Provider Business Mailing Address
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Address Line | 43 PARK VIEW DR
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City | HINGHAM
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State | MA
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Zip | 02043-2134
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Country | US
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Telephone | 781-650-0484
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST/OWNER
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Name | MS. ABBY FRIEND KRUG
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Credential | LAC
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Telephone | 781-650-0484
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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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