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General NPI Number Information
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NPI Number | 1144621988
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Entity Type | Organization
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Legal Business Name | LIFEROOT ACUPUNCTURE & HEALING ARTS, LLC
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 1601 N TUCSON BLVD STE 14
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City | TUCSON
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State | AZ
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Zip | 85716-3406
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Country | US
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Telephone | 520-323-7060
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 N TUCSON BLVD STE 14
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City | TUCSON
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State | AZ
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Zip | 85716-3406
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Country | US
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Telephone | 520-323-7060
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Fax | 520-323-6175
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Authorized Official
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Title or Position | PROVIDER
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Name | KIMBERLY A KLEIMAN
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Credential |
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Telephone | 520-323-7060
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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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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | #MT-18489
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | #MT-00211P
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | #MT-19959
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | #MT-19963
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0623
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License Number State | AZ
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