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General NPI Number Information
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NPI Number | 1104312610
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Entity Type | Organization
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Legal Business Name | INNERSPRING ACUPUNCTURE & WELLBEING INC.
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 132 GREAT RD STE 201
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City | STOW
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State | MA
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Zip | 01775-1189
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Country | US
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Telephone | 978-461-2001
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Fax | 866-709-1684
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Provider Business Mailing Address
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Address Line | 132 GREAT RD STE 201
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City | STOW
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State | MA
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Zip | 01775-1189
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Country | US
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Telephone | 978-461-2001
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Fax | 866-709-1684
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE MANDLER
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Credential | LDN LICAC DACM
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Telephone | 978-461-2001
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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 |
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License Number State |
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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 | 230194
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License Number State | MA
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