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General NPI Number Information
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NPI Number | 1245897248
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Entity Type | Organization
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Legal Business Name | INTUITIVE WELLNESS LLC
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Dates
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Enumeration Date | 05/24/2019
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 22 GROVE ST
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City | DARIEN
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State | CT
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Zip | 06820-4514
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Country | US
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Telephone | 203-900-4033
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Fax | 475-328-4083
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Provider Business Mailing Address
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Address Line | 5 TOKENEKE RD
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City | DARIEN
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State | CT
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Zip | 06820-4605
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Country | US
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Telephone | 203-900-4033
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Fax | 475-328-4083
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MICHELLE CLIFFORD
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Credential | LAC
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Telephone | 845-702-1295
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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 |
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License Number State |
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