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General NPI Number Information
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NPI Number | 1124722251
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Entity Type | Organization
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Legal Business Name | AMAZING ACUPUNCTURE & ASIAN MEDICINE, PLLC
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 2155 W SR 89A STE 114
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City | SEDONA
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State | AZ
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Zip | 86336-5445
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Country | US
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Telephone | 928-239-9706
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Fax | 928-203-9716
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Provider Business Mailing Address
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Address Line | 2155 W SR 89A STE 114
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City | SEDONA
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State | AZ
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Zip | 86336-5445
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Country | US
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Telephone | 928-239-9706
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Fax | 928-203-9716
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PHANTASMAGORIA EVE
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Credential |
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Telephone | 928-239-9706
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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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