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General NPI Number Information
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NPI Number | 1346628013
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Entity Type | Organization
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Legal Business Name | NICOLE ASBAHR, M.AC, L.AC, LICENSED ACUPUNCTURIST
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 112 CENTRAL AVE
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1233
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Country | US
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Telephone | 503-351-4033
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Fax |
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Provider Business Mailing Address
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Address Line | 112 CENTRAL AVE
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1233
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Country | US
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Telephone | 503-351-4033
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | NICOLE CHRISTINE ASBAHR
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Credential | M.AC, L.AC
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Telephone | 503-351-4033
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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 | U02242
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License Number State | MD
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