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General NPI Number Information
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NPI Number | 1174292098
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Entity Type | Individual
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Provider Name | ASHLEE HALSELL L.AC., DIPL. O.M.
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Gender | Female
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 4450 S RURAL RD STE A202
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City | TEMPE
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State | AZ
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Zip | 85282-7290
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Country | US
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Telephone | 240-461-3510
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Fax |
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Provider Business Mailing Address
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Address Line | 4450 S RURAL RD STE A202
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City | TEMPE
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State | AZ
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Zip | 85282-7290
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Country | US
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Telephone | 240-461-3510
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Fax |
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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 | 0965
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License Number State | AZ
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