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General NPI Number Information
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NPI Number | 1346591971
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Entity Type | Organization
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Legal Business Name | BLUE LOTUS HEALTH & ACUPUNCTURE
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Dates
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Enumeration Date | 09/22/2012
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 3720 WILLOW RIDGE RD
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City | LEXINGTON
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State | KY
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Zip | 40514-1562
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Country | US
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Telephone | 859-533-0914
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Fax |
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Provider Business Mailing Address
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Address Line | 3720 WILLOW RIDGE RD
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City | LEXINGTON
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State | KY
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Zip | 40514-1562
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Country | US
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Telephone | 859-533-0914
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Fax |
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Authorized Official
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Title or Position | CO-OWNER, CLINIC MANAGER
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Name | ARWEN CAREAGA
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Credential |
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Telephone | 859-533-0914
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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 | AC072
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License Number State | KY
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