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General NPI Number Information
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NPI Number | 1255724647
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Entity Type | Individual
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Provider Name | BERTRAND BABINET PHD, LAC
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Gender | Male
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Dates
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Enumeration Date | 03/10/2015
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Last Update Date | 03/10/2015
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Provider Practice Location Address
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Address Line | 405 VASQUEZ CT
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City | LYONS
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State | CO
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Zip | 80540
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Country | US
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Telephone | 303-823-8760
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Fax | 303-823-5378
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Provider Business Mailing Address
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Address Line | 1750 30THNST #184
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City | BOULDER
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State | CO
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Zip | 80301
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Country | US
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Telephone | 303-588-0057
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Fax | 303-823-5378
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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 | 563
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License Number State | CO
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