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General NPI Number Information
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NPI Number | 1336543222
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Entity Type | Organization
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Legal Business Name | MICHELE CELEBRE
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 6 WATERLOO AVE
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City | BERWYN
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State | PA
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Zip | 19312-1731
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Country | US
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Telephone | 610-251-9880
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Fax |
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Provider Business Mailing Address
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Address Line | 6 WATERLOO AVE
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City | BERWYN
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State | PA
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Zip | 19312-1731
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Country | US
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Telephone | 610-251-9880
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MICHEL DAMINI CELEBRE
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Credential | B.F.A., M.AC. L.OM
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Telephone | 610-251-9880
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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 | OM000008
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License Number State | PA
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