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General NPI Number Information
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NPI Number | 1275243321
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Entity Type | Organization
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Legal Business Name | LUMEN ACUPUNCTURE AND LIGHT LLC
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 580 MAIN ST STE 300E
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City | CARBONDALE
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State | CO
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Zip | 81623-2072
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Country | US
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Telephone | 970-335-8554
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Fax |
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Provider Business Mailing Address
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Address Line | 651 COWEN DR
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City | CARBONDALE
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State | CO
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Zip | 81623-1592
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Country | US
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Telephone | 970-335-8554
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADAM HUTCHISON
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Credential |
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Telephone | 970-335-8554
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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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