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General NPI Number Information
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NPI Number | 1295066363
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Entity Type | Individual
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Provider Name | ALISE BECCARIA DAC, L.AC.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 09/06/2017
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Provider Practice Location Address
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Address Line | 315 S WESTGATE DR STE J
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City | GREENSBORO
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State | NC
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Zip | 27407-1631
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Country | US
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Telephone | 337-763-7685
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Fax | 888-918-4098
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Provider Business Mailing Address
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Address Line | 315 SOUTH WESTGATE DRIVE UNIT J
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City | GREENSBORO
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State | NC
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Zip | 27407
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Country | US
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Telephone | 203-947-3542
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Fax | 888-918-4098
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 370
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License Number State | GA
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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 | 500
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License Number State | CT
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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 | 4291
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 939
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License Number State | NC
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