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General NPI Number Information
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NPI Number | 1154778090
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Entity Type | Organization
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Legal Business Name | ACU POISE
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 2150 BLACK ROCK TPKE SUITE 205
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City | FAIRFIELD
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State | CT
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Zip | 06825-3239
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Country | US
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Telephone | 203-333-6663
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Fax |
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Provider Business Mailing Address
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Address Line | 509 SHRUB OAK LN
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City | FAIRFIELD
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State | CT
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Zip | 06824-1872
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Country | US
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Telephone | 203-333-6663
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HANNI HELLER-RAM
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Credential | L.AC
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Telephone | 203-333-6663
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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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