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General NPI Number Information
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NPI Number | 1245584515
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Entity Type | Individual
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Provider Name | DAVID R. LOPRIORE L.AC.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 339 FLANDERS RD LATIMER BROOK COMMONS UNIT 107
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City | EAST LYME
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State | CT
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Zip | 06333-1700
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Country | US
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Telephone | 860-739-5102
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Fax | 860-739-1844
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Provider Business Mailing Address
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Address Line | 339 FLANDERS RD LATIMER BROOK COMMONS UNIT 107
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City | EAST LYME
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State | CT
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Zip | 06333-1700
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Country | US
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Telephone | 860-739-5102
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Fax | 860-739-1844
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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 | 000112
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License Number State | CT
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