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General NPI Number Information
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NPI Number | 1164731741
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Entity Type | Individual
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Provider Name | KIM BONSTEEL L.AC.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 348 S 5TH ST # 224
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City | HIGHLANDS
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State | NC
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Zip | 28741-7002
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Country | US
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Telephone | 828-526-0743
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Fax | 828-862-3335
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Provider Business Mailing Address
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Address Line | PO BOX 304
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City | SAPPHIRE
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State | NC
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Zip | 28774-0304
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Country | US
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Telephone | 828-526-0743
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Fax | 828-862-3335
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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 | 564
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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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 | 4091
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License Number State | NC
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