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General NPI Number Information
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NPI Number | 1194148452
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND HERBAL HEALTH AND WELLNESS, INC.
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 214 S IOWA AVE
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City | WASHINGTON
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State | IA
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Zip | 52353-1753
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Country | US
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Telephone | 319-430-2810
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Fax | 319-356-0116
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Provider Business Mailing Address
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Address Line | 214 S IOWA AVE
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City | WASHINGTON
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State | IA
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Zip | 52353-1753
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Country | US
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Telephone | 319-430-2810
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Fax | 319-356-0116
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SUE A DUSTERHOFT
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Credential | DIPL. O.M.
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Telephone | 319-430-2810
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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 | A-54
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License Number State | IA
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