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General NPI Number Information
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NPI Number | 1326119488
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Entity Type | Individual
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Provider Name | AIQIN ALICE SHI D. A.
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Gender | Female
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Dates
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Enumeration Date | 11/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1665 HARTFORD AVE SUITE 11
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City | JOHNSTON
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State | RI
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Zip | 02919-3200
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Country | US
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Telephone | 401-954-1829
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Fax | 508-529-9027
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Provider Business Mailing Address
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Address Line | 44 PLEASANT ST
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City | UPTON
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State | MA
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Zip | 01568-1428
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Country | US
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Telephone | 401-954-1829
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Fax | 508-529-9027
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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 | AD00216
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License Number State | RI
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