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General NPI Number Information
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NPI Number | 1447825542
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Entity Type | Organization
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Legal Business Name | SHILOAH HOWARD LICENSED ACUPUNCTURIST
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | 426 5TH STREET
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City | FREDERICK
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State | CO
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Zip | 80530
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Country | US
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Telephone | 720-750-7807
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Fax | 720-750-7807
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Provider Business Mailing Address
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Address Line | 325 BROPHY CT
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City | FREDERICK
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State | CO
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Zip | 80530-8056
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Country | US
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Telephone | 720-202-1100
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Fax | 720-750-7807
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Authorized Official
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Title or Position | OWNER, ACUPUNCTURIST
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Name | SHILOAH GERMAIN HOWARD
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Credential | L.AC
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Telephone | 720-202-1100
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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 |
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License Number State |
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