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General NPI Number Information
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NPI Number | 1346495256
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Entity Type | Individual
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Provider Name | CRAIG STEPHEN AMRINE L.AC.
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Gender | Male
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 1250 E BASELINE RD SUITE 104-B
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City | TEMPE
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State | AZ
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Zip | 85283-1436
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Country | US
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Telephone | 602-430-5812
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Fax | 480-456-0409
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Provider Business Mailing Address
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Address Line | 1905 E UNIVERSITY DR UNIT 152
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City | TEMPE
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State | AZ
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Zip | 85281-4671
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Country | US
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Telephone | 602-430-5812
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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 | 0604
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License Number State | AZ
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