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General NPI Number Information
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NPI Number | 1326361809
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Entity Type | Individual
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Provider Name | MARC PASSMANN L.AC.
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Gender | Male
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 4545 W POTVIN LN
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City | TUCSON
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State | AZ
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Zip | 85742-9533
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Country | US
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Telephone | 917-667-2348
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Fax |
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Provider Business Mailing Address
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Address Line | 4545 W POTVIN LN
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City | TUCSON
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State | AZ
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Zip | 85742-9533
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Country | US
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Telephone | 917-667-2348
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Fax |
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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 | 25MZ00043700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25 001510
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | LAC-010163
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License Number State | AZ
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