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NPI 1255217295

NPI 1255217295 : 303 ACUPUNCTURE AND WELLNESS, LLC : CENTENNIAL, CO

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General NPI Number Information
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    NPI Number           |    1255217295
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    Entity Type          |    Organization 
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    Legal Business Name  |    303 ACUPUNCTURE AND WELLNESS, LLC 
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Dates
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    Enumeration Date     |    08/14/2025
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    Last Update Date     |    08/14/2025
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Provider Practice Location Address
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    Address Line         |    6970 S HOLLY CIR STE 204 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80112-1066
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    Country              |    US
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    Telephone            |    303-931-9297
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7661 S ROSEMARY CIR 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80112-6421
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    Country              |    US
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    Telephone            |    303-931-9297
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    Fax                  |    
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Authorized Official
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    Title or Position    |    L.AC.
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    Name                 |     MEAGAN  BOUDREAUX-NUNNELLY 
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    Credential           |    L.AC., DIPL. ACU.
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    Telephone            |    303-931-9297
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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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