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General NPI Number Information
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NPI Number | 1356613129
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Entity Type | Organization
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Legal Business Name | SHERRELL ACUPUNCTURE
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 8703 YATES DR SUITE 220-D
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City | WESTMINSTER
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State | CO
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Zip | 80031-6952
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Country | US
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Telephone | 303-669-2949
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Fax |
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Provider Business Mailing Address
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Address Line | 5081 ELM CT
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City | DENVER
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State | CO
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Zip | 80221-1245
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Country | US
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Telephone | 303-669-2949
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Fax |
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Authorized Official
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Title or Position | MANAGER/LICENSED ACUPUNCTURIST
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Name | ERIC SHERRELL
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Credential | L.AC.
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Telephone | 303-669-2949
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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 | 1640
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License Number State | CO
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