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General NPI Number Information
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NPI Number | 1184953044
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Entity Type | Organization
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Legal Business Name | OPUS ACUPUNCTURE
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Dates
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Enumeration Date | 12/23/2009
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 66 NOOSENECK HILL RD
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City | WEST GREENWICH
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State | RI
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Zip | 02817-1523
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Country | US
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Telephone | 401-397-6333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 837
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City | WYOMING
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State | RI
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Zip | 02898-0837
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Country | US
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Telephone | 401-397-6333
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Fax | 401-397-6333
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. TIMOTHY EUGENE OBRIEN
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Credential | D.AC.
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Telephone | 401-397-6333
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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 | DA0149
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License Number State | RI
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