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General NPI Number Information
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NPI Number | 1326687625
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Entity Type | Organization
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Legal Business Name | RIVER VALLEY ACUPUNCTURE
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Dates
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Enumeration Date | 01/03/2020
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 441 WEST ST
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City | AMHERST
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State | MA
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Zip | 01002-2997
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Country | US
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Telephone | 413-585-1511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 44
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City | LEVERETT
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State | MA
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Zip | 01054-0044
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Country | US
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Telephone | 413-585-1511
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Fax |
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | MS. NANCY GROSSMAN
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Credential | LIC. AC.
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Telephone | 413-585-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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