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General NPI Number Information
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NPI Number | 1316410996
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Entity Type | Organization
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Legal Business Name | EAST CAROLINA ACUPUNCTURE INC
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Dates
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Enumeration Date | 01/07/2019
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 211 COMMERCE STREET SUITE A
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City | GREENVILLE
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State | NC
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Zip | 27858
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Country | US
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Telephone | 252-209-6593
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Fax |
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Provider Business Mailing Address
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Address Line | 1946 TARA COURT UNIT 103
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City | GREENVILLE
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State | NC
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Zip | 27858
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Country | US
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Telephone | 252-209-6593
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | PAULETTE HOGGARD
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Credential | L.AC.
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Telephone | 252-209-6593
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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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