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General NPI Number Information
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NPI Number | 1245782366
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Entity Type | Organization
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Legal Business Name | CROSS KEYS ACUPUNCTURE AND HEALING ARTS
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 1752 E LOMBARD ST #2
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City | BALTIMORE
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State | MD
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Zip | 21231-1829
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Country | US
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Telephone | 443-990-1165
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Fax |
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Provider Business Mailing Address
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Address Line | 2 HAMILL RD SUITE 214 EAST QUADRANGLE
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City | BALTIMORE
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State | MD
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Zip | 21210-1806
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Country | US
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Telephone | 443-990-1165
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Fax | 443-708-0898
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Authorized Official
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Title or Position | NCCAOM ACUPUNCTURIST
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Name | MS. KAREN S OLIVA
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Credential | L.AC., M.AC.
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Telephone | 443-990-1165
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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 | U01113
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License Number State | MD
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