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General NPI Number Information
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NPI Number | 1396038584
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Entity Type | Organization
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Legal Business Name | PIHMA HEALTH & EDUCATION NETWORK
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 301 E BETHANY HOME RD SUITE A-100
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City | PHOENIX
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State | AZ
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Zip | 85012-1263
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Country | US
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Telephone | 602-274-1885
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Fax | 602-274-1895
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Provider Business Mailing Address
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Address Line | 301 E BETHANY HOME RD SUITE A-100
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City | PHOENIX
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State | AZ
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Zip | 85012-1263
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Country | US
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Telephone | 602-274-1885
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Fax | 602-274-1895
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CATHERINE NIEMIEC
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Credential | J.D., L.AC.
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Telephone | 602-274-1885
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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 | 0188
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License Number State | AZ
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