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General NPI Number Information
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NPI Number | 1134473432
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Entity Type | Individual
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Provider Name | CYNTHIA KIRBY REILLY DIPL. AC.
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Gender | Female
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | 802 MAIN ST
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City | BENNINGTON
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State | VT
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Zip | 05201-2636
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Country | US
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Telephone | 802-442-4442
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Fax |
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Provider Business Mailing Address
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Address Line | 366 COLVIN HILL RD
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City | DANBY
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State | VT
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Zip | 05739-6600
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Country | US
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Telephone | 802-293-2065
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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 | 0910000218
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License Number State | VT
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