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General NPI Number Information
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NPI Number | 1285271593
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Entity Type | Organization
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Legal Business Name | EASTERN THERAPEUTICS, LLC
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 12/05/2019
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Provider Practice Location Address
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Address Line | 50 MAIN ST
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City | WALPAZ
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State | MA
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Zip | 02001
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Country | US
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Telephone | 500-668-6542
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Fax |
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Provider Business Mailing Address
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Address Line | 50 MAIN ST
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City | WALPAZ
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State | MA
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Zip | 02001
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Country | US
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Telephone | 500-668-6542
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHRISTIAN MARIE ROBINSON-CAPY
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Credential | MACM LIC AC
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Telephone | 508-668-6542
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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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