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General NPI Number Information
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NPI Number | 1396258158
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Entity Type | Organization
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Legal Business Name | ORIENTAL HEALING OASIS & WELLNESS CENTER
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 149 MCHENRY ST
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City | BURLINGTON
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State | WI
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Zip | 53105-1825
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Country | US
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Telephone | 262-763-9355
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Fax | 262-342-5151
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Provider Business Mailing Address
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Address Line | 149 MCHENRY ST
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City | BURLINGTON
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State | WI
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Zip | 53105-1825
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Country | US
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Telephone | 262-763-9355
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Fax | 262-342-5151
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Authorized Official
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Title or Position | OWNER/CLINIC DIRECTOR
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Name | CHARLOTTE ANGELINI
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Credential | MSOM, L.AC.
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Telephone | 262-763-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 13965-146
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 619-055
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License Number State | WI
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