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General NPI Number Information
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NPI Number | 1407301807
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE, HEALTH AND WELLNESS
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 121 LIBERTY ST
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City | DANVERS
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State | MA
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Zip | 01923-3309
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Country | US
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Telephone | 978-397-6505
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Fax |
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Provider Business Mailing Address
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Address Line | 11 PARADISE RD
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City | IPSWICH
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State | MA
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Zip | 01938-1221
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Country | US
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Telephone | 978-397-6505
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST/OWNER
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Name | MR. RONALD JAMES WILLIAMS
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Credential | LIC. AC. M.AC
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Telephone | 978-397-6505
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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 | 219529
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License Number State | MA
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