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General NPI Number Information
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NPI Number | 1295368306
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Entity Type | Organization
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Legal Business Name | HEALING ARTS CENTER LLC
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Dates
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Enumeration Date | 02/17/2020
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 123 CHESTNUT ST STE 204
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City | PHILADELPHIA
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State | PA
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Zip | 19106-3051
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Country | US
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Telephone | 215-627-3782
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Fax |
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Provider Business Mailing Address
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Address Line | 123 CHESTNUT ST STE 204
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City | PHILADELPHIA
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State | PA
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Zip | 19106-3051
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Country | US
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Telephone | 215-627-3782
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN MAVROS
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Credential | L.OM.
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Telephone | 215-618-4531
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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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