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General NPI Number Information
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NPI Number | 1134485980
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Entity Type | Individual
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Provider Name | MICHELLE ANN DENNY LAC
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Gender | Female
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 07/08/2015
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Provider Practice Location Address
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Address Line | 2737 DEVONSHIRE PL NW SUITE F 5
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City | WASHINGTON
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State | DC
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Zip | 20008-3479
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Country | US
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Telephone | 808-446-2426
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29031
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City | SANTA FE
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State | NM
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Zip | 87592-9031
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Country | US
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Telephone | 808-446-2426
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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 | ACU 1030
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License Number State | HI
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