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General NPI Number Information
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NPI Number | 1376201301
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Entity Type | Organization
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Legal Business Name | MIDDLEBURY ACUPUNCTURE
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 152 MAPLE ST STE 302
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City | MIDDLEBURY
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State | VT
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Zip | 05753-1168
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Country | US
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Telephone | 802-377-3177
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Fax |
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Provider Business Mailing Address
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Address Line | 818 ATKINSON CIR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-3430
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Country | US
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Telephone | 908-635-2950
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DAVID FLEISCHER
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Credential | DACM
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Telephone | 802-377-3177
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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 |
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