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General NPI Number Information
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NPI Number | 1316391238
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Entity Type | Organization
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Legal Business Name | COMMUNITY ACUPUNCTURE & CHINESE MEDICINE
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Dates
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Enumeration Date | 04/17/2016
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Last Update Date | 04/17/2016
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Provider Practice Location Address
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Address Line | 855 INCA ST
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City | DENVER
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State | CO
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Zip | 80204-4342
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Country | US
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Telephone | 303-523-1478
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Fax |
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Provider Business Mailing Address
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Address Line | 2788 S IVAN WAY
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City | DENVER
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State | CO
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Zip | 80227-3832
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Country | US
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Telephone | 303-523-1478
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Fax |
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Authorized Official
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Title or Position | ACUPUNTURIST
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Name | MRS. HELEN M. CASTRO
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Credential | LICENSED ACUPUNCTURE
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Telephone | 303-523-1478
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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 | ACU.0001395
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License Number State | CO
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