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General NPI Number Information
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NPI Number | 1164805586
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Entity Type | Organization
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Legal Business Name | SHIRLEY MCWILLIAMS ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 07/02/2015
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Last Update Date | 07/02/2015
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Provider Practice Location Address
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Address Line | 1930 HOWARD RD STE 109
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City | MADERA
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State | CA
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Zip | 93637-5155
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Country | US
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Telephone | 559-213-5185
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Fax | 559-474-8921
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Provider Business Mailing Address
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Address Line | 1930 HOWARD RD STE 109
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City | MADERA
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State | CA
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Zip | 93637-5155
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Country | US
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Telephone | 559-213-5185
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Fax | 559-474-8921
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHIRLEY MCWILLIAMS
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Credential | LAC
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Telephone | 559-213-5185
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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 | AC7530
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License Number State | CA
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