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General NPI Number Information
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NPI Number | 1093070898
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Entity Type | Individual
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Provider Name | KRISTIN QUERY OMD, LIC. AC.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2012
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 1950 MAYBANK HWY
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City | CHARLESTON
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State | SC
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Zip | 29412-2126
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Country | US
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Telephone | 828-712-7789
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Fax |
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Provider Business Mailing Address
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Address Line | 29 LYTTLETON ST
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City | CHARLESTON
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State | SC
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Zip | 29407-7315
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Country | US
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Telephone | 828-712-7789
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Fax |
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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 | 442
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 143
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License Number State | SC
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