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General NPI Number Information
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NPI Number | 1265077192
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Entity Type | Organization
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Legal Business Name | FOUR SEAS ACUPUNCTURE LLC
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 345 E MOUNT AIRY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-1114
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Country | US
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Telephone | 610-331-7117
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Fax | 267-966-3629
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Provider Business Mailing Address
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Address Line | 3359 BRYAN CT
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City | BENSALEM
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State | PA
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Zip | 19020-1814
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Country | US
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Telephone | 610-331-7117
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | INE JONES
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Credential | L.AC.
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Telephone | 610-331-7117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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