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General NPI Number Information
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NPI Number | 1164944567
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Entity Type | Organization
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Legal Business Name | EMEND HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 4100 S LINDSAY RD STE 111
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City | GILBERT
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State | AZ
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Zip | 85297-1507
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Country | US
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Telephone | 480-788-1757
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Fax |
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Provider Business Mailing Address
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Address Line | 3255 S DORSEY LN APT 2013
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City | TEMPE
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State | AZ
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Zip | 85282-3981
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Country | US
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Telephone | 480-266-2657
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | ERIN WEST
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Credential | LAC
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Telephone | 480-788-1757
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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 | 0989
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License Number State | AZ
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