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General NPI Number Information
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NPI Number | 1285001479
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Entity Type | Individual
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Provider Name | CINDY AZEVEDO
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Gender | Female
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 271 BEDFORD ST UNIT 5
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City | LAKEVILLE
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State | MA
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Zip | 02347-1517
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Country | US
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Telephone | 508-802-5147
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Fax |
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Provider Business Mailing Address
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Address Line | 33 FAIRBANKS AVE
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City | EAST TAUNTON
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State | MA
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Zip | 02718-1055
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 0078
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License Number State | NH
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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 | 265241
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License Number State | MA
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Taxonomy #3
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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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