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General NPI Number Information
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NPI Number | 1447759691
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Entity Type | Organization
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Legal Business Name | YINTUITION WELLNESS, PLLC
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 551 BOYLSTON ST. SUITE 4
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City | BOSTON
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State | MA
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Zip | 02116
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Country | US
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Telephone | 617-356-7584
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Fax |
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Provider Business Mailing Address
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Address Line | 551 BOYLSTON ST. SUITE 4
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City | BOSTON
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State | MA
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Zip | 02116
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Country | US
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Telephone | 617-356-7584
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Fax |
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Authorized Official
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Title or Position | OWNER, ACUPUNCTURIST
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Name | ALEXANDRA VANDER BAAN
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Credential | L.AC.
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Telephone | 401-465-1305
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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 | 264748
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License Number State | MA
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