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General NPI Number Information
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NPI Number | 1366961260
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Entity Type | Organization
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Legal Business Name | HEALING SOURCE INC.
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 1030 JOHNSON RD STE 287
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City | GOLDEN
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State | CO
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Zip | 80401-6042
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Country | US
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Telephone | 303-909-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 JOHNSON RD STE 287
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City | GOLDEN
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State | CO
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Zip | 80401-6042
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Country | US
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Telephone | 303-909-2030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIANA A. COMBES
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Credential | DACM, LAC
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Telephone | 303-909-2030
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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 | ACU.0002308
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License Number State | CO
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