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General NPI Number Information
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NPI Number | 1366746646
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Entity Type | Individual
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Provider Name | KRISTEN EDITH ONEILL M.AC, L.AC, LMT
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Gender | Female
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Dates
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Enumeration Date | 12/31/2010
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Last Update Date | 12/31/2010
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Provider Practice Location Address
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Address Line | 1610 CRYSTAL SQUARE ARC
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City | ARLINGTON
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State | VA
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Zip | 22202-3301
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Country | US
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Telephone | 703-412-1148
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Fax |
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Provider Business Mailing Address
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Address Line | 2418 OBSERVATORY PL NW
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City | WASHINGTON
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State | DC
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Zip | 20007-1814
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Country | US
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Telephone | 202-215-9633
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Fax |
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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 | 0121000600
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License Number State | VA
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