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General NPI Number Information
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NPI Number | 1346762812
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Entity Type | Individual
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Provider Name | MS. SALLY ANN WORKMAN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 07/17/2017
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Provider Practice Location Address
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Address Line | 650 LINDEN ST STE 2
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City | BIG RAPIDS
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State | MI
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Zip | 49307-1880
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Country | US
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Telephone | 231-598-2356
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Fax | 231-796-4271
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Provider Business Mailing Address
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Address Line | 1310 WOODWARD AVE
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City | BIG RAPIDS
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State | MI
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Zip | 49307-4930
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Country | US
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Telephone | 231-598-2356
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Fax | 123-796-4271
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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 | 12195
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License Number State | MI
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