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General NPI Number Information
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NPI Number | 1184328999
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Entity Type | Organization
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Legal Business Name | BE WELL ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 1300 E 9TH ST STE 6
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City | EDMOND
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State | OK
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Zip | 73034-5760
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Country | US
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Telephone | 405-697-5121
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Fax | 405-785-3561
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Provider Business Mailing Address
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Address Line | 1300 E 9TH ST STE 6
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City | EDMOND
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State | OK
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Zip | 73034-5760
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Country | US
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Telephone | 405-697-5121
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Fax | 405-785-3561
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | TONI ERIN TWITTY
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Credential | M.AC.
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Telephone | 405-697-5121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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