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General NPI Number Information
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NPI Number | 1447404116
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE & OMS LLC
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 11/07/2008
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Provider Practice Location Address
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Address Line | 309 N WATER ST SUITE 203
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City | MILWAUKEE
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State | WI
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Zip | 53202-5718
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Country | US
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Telephone | 414-431-1088
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Fax |
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Provider Business Mailing Address
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Address Line | 309 N WATER ST SUITE 203
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City | MILWAUKEE
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State | WI
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Zip | 53202-5718
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Country | US
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Telephone | 414-431-1088
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST/HERBALIST/OWNER
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Name | MR. JARET JASON SAHR
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Credential | MSOM, L. AC
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Telephone | 414-431-1088
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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 | 381055
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License Number State | WI
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