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General NPI Number Information
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NPI Number | 1386071231
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND PAIN CLINIC CENTER PLLC
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Dates
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Enumeration Date | 10/07/2013
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Last Update Date | 10/07/2013
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Provider Practice Location Address
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Address Line | 5141 OAKMAN BLVD SUITE D
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City | DEARBORN
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State | MI
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Zip | 48126-3763
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Country | US
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Telephone | 313-312-7786
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Fax | 313-584-0552
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Provider Business Mailing Address
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Address Line | 2608 WOODCREEK CT
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City | CANTON
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State | MI
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Zip | 48188-2642
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Country | US
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Telephone | 313-312-7786
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Fax | 313-584-0552
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Authorized Official
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Title or Position | OWNER
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Name | MOSTAFA BELKHALFIA
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Credential |
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Telephone | 313-312-7786
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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 | 5401000061
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License Number State | MI
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