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General NPI Number Information
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NPI Number | 1083086763
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Entity Type | Organization
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Legal Business Name | CARRBORO ACUPUNCTURE AND NATURAL HEALING CENTER
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 200 PLEASANT DR
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City | CARRBORO
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State | NC
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Zip | 27510-1451
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Country | US
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Telephone | 919-968-1198
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Fax |
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Provider Business Mailing Address
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Address Line | 200 PLEASANT DR
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City | CARRBORO
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State | NC
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Zip | 27510-1451
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Country | US
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Telephone | 919-968-1198
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHOLENA ERICKSON
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Credential | L.AC.
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Telephone | 919-968-1198
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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 | 008
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License Number State | NC
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