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General NPI Number Information
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NPI Number | 1285152975
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Entity Type | Organization
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Legal Business Name | MEADE DANIELLE LLC
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Dates
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Enumeration Date | 09/01/2017
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Last Update Date | 09/01/2017
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Provider Practice Location Address
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Address Line | 340 E MAPLE AVE STE 207
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City | LANGHORNE
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State | PA
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Zip | 19047-2852
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Country | US
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Telephone | 267-265-8235
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Fax |
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Provider Business Mailing Address
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Address Line | 10918 CALERA RD
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City | PHILADELPHIA
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State | PA
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Zip | 19154-3906
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Country | US
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Telephone | 12672658235
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEADE DANIELLE MUELLER
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Credential | LAC.
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Telephone | 267-265-8235
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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 | AK001096
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License Number State | PA
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