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General NPI Number Information
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NPI Number | 1255785424
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Entity Type | Organization
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Legal Business Name | SUFI ACUPUNCTURE AND HEALING
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 04/14/2016
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Provider Practice Location Address
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Address Line | 28 S POTOMAC ST 2R
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6194
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Country | US
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Telephone | 301-358-5549
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Fax | 240-823-9247
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Provider Business Mailing Address
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Address Line | 28 SOUTH POTOMAC STREET 2R
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City | HAGERSTOWN
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State | MD
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Zip | 21740
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Country | US
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Telephone | 301-358-5549
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Fax | 240-823-9247
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CATHY GUTHRIE-SMETZER
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Credential |
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Telephone | 301-358-5549
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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 | U02245
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License Number State | MD
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