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General NPI Number Information
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NPI Number | 1184039307
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Entity Type | Organization
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Legal Business Name | HEALINGWISDOM MEDICINE
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Dates
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Enumeration Date | 06/26/2014
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Last Update Date | 06/26/2014
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Provider Practice Location Address
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Address Line | 1555 CONNECTICUT AVE NW FL 3 WASHINGTON DC 20036
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City | WASHINGTON
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State | DC
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Zip | 20036-1111
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Country | US
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Telephone | 202-320-4213
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Fax |
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Provider Business Mailing Address
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Address Line | 1555 CONNECTICUT AVE NW FL 3 WASHINGTON DC 20036
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City | WASHINGTON
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State | DC
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Zip | 20036-1111
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Country | US
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Telephone | 202-320-4213
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED ACUPUNCTURIST
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Name | EMILY P COOPER
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Credential | MPH, MOM, L.AC
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Telephone | 202-320-4213
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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 | AC500188
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License Number State | DC
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