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General NPI Number Information
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NPI Number | 1144714536
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Entity Type | Organization
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Legal Business Name | SWEET AIR ACUPUNCURE
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 06/19/2018
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Provider Practice Location Address
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Address Line | 4803 YELLOWWOOD AVE
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City | BALTIMORE
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State | MD
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Zip | 21209-4622
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Country | US
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Telephone | 141-092-5527
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Fax |
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Provider Business Mailing Address
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Address Line | 5312 PATTERSON RD
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City | BALDWIN
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State | MD
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Zip | 21013-9360
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Country | US
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Telephone | 410-925-5272
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABBE MCAULIFFE CREANEY
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Credential | L.AC. M.AC.
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Telephone | 410-925-5272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | U01722
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License Number State | MD
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