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NPI 1356700264

NPI 1356700264 : ALCHEMI ACUPUNCTURE : FORT COLLINS, CO

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General NPI Number Information
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    NPI Number           |    1356700264
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALCHEMI ACUPUNCTURE 
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Dates
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    Enumeration Date     |    02/19/2016
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    Last Update Date     |    02/19/2016
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Provider Practice Location Address
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    Address Line         |    3435 KENWOOD DR 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80524-8511
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    Country              |    US
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    Telephone            |    970-310-1674
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3435 KENWOOD DR 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80524-8511
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    Country              |    US
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    Telephone            |    970-310-1674
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PRACTITIONER
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    Name                 |     HOLLY FRANCES RAMPONE-GULDER 
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    Credential           |    
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    Telephone            |    970-310-1674
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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       |    
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    License Number State |    CO
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