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General NPI Number Information
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NPI Number | 1275810046
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Entity Type | Organization
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Legal Business Name | OAK & WILLOW ACUPUNCTURE
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Dates
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Enumeration Date | 11/08/2011
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 340 CARL ELLER RD
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City | MARS HILL
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State | NC
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Zip | 28754-6000
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Country | US
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Telephone | 828-337-0803
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Fax |
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Provider Business Mailing Address
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Address Line | 264 CRAGMONT RD
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-2813
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Country | US
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Telephone | 828-337-0803
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIA DAWN JONES
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Credential | LAC
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Telephone | 828-337-0803
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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 | 605
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License Number State | NC
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