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General NPI Number Information
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NPI Number | 1255882197
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Entity Type | Organization
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Legal Business Name | SLOW DOWN AND LIVE ACUPUNCTURE
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Dates
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Enumeration Date | 10/15/2016
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Last Update Date | 10/15/2016
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Provider Practice Location Address
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Address Line | 115 ANNAPOLIS ST
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1309
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Country | US
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Telephone | 410-849-3456
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Fax |
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Provider Business Mailing Address
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Address Line | 115 ANNAPOLIS ST
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1309
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Country | US
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Telephone | 410-849-3456
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST, CRNP
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Name | MS. CAROL PATRICIA BURKE
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Credential | M.S., M.AC, CRNP
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Telephone | 410-849-3456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | R059526
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | U01487
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License Number State | MD
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