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General NPI Number Information
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NPI Number | 1326186842
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Entity Type | Individual
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Provider Name | JUDITH S. ROTHSTEIN L. AC.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8167 MAIN ST. STE.203
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City | ELLICOTT CTIY
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State | MD
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Zip | 21043-4776
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Country | US
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Telephone | 410-461-6543
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Fax | 410-992-7718
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Provider Business Mailing Address
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Address Line | 10314 TAILCOAT WAY
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City | COLUMBIA
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State | MD
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Zip | 21044-3809
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Country | US
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Telephone | 410-740-3288
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Fax | 410-992-7718
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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 | 000353
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License Number State | MD
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