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General NPI Number Information
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NPI Number | 1376284067
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Entity Type | Organization
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Legal Business Name | HEALING PARADISE ACUPUNCTURE
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 259 E RAND RD STE 107
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-2184
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Country | US
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Telephone | 224-307-4325
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Fax | 866-307-0289
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Provider Business Mailing Address
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Address Line | 259 E RAND RD STE 107
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-2184
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Country | US
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Telephone | 224-307-4325
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Fax | 866-307-0289
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Authorized Official
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Title or Position | OWNER
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Name | VICTORIA SOUS
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Credential | LAC
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Telephone | 224-307-4325
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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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