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General NPI Number Information
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NPI Number | 1336556141
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Entity Type | Organization
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Legal Business Name | TWO TURTLES ACUPUNCTURE CENTER
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 12/10/2015
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Provider Practice Location Address
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Address Line | 1001 CENTER AVE STE K
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City | MOORHEAD
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State | MN
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Zip | 56560-2080
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Country | US
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Telephone | 218-287-4501
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Fax | 701-660-1052
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Provider Business Mailing Address
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Address Line | 1001 CENTER AVE STE K
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City | MOORHEAD
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State | MN
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Zip | 56560-2080
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Country | US
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Telephone | 218-287-4501
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Fax | 701-660-1052
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Authorized Official
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Title or Position | OWNER
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Name | STEVE SPADER
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Credential | L.AC.
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Telephone | 701-478-2898
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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 | 1267
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License Number State | MN
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