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General NPI Number Information
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NPI Number | 1083192918
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Entity Type | Organization
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Legal Business Name | 12 MERIDIANS ACUPUNCTURE
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 2511 OAKSTONE DR
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City | COLUMBUS
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State | OH
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Zip | 43231-7612
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Country | US
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Telephone | 614-423-8368
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Fax | 833-790-5341
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Provider Business Mailing Address
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Address Line | 2511 OAKSTONE DR
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City | COLUMBUS
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State | OH
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Zip | 43231-7612
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Country | US
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Telephone | 614-423-8368
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Fax | 833-790-5341
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | BRIGITTA MOSKOVA
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Credential | L.AC.
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Telephone | 614-284-8017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 65.000187
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License Number State | OH
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