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General NPI Number Information
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NPI Number | 1457911315
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Entity Type | Individual
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Provider Name | ALLICEN MAIER-WOTT L.AC., DIPL. OM
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Gender | Female
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 2121 S ONEIDA ST STE 110
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City | DENVER
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State | CO
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Zip | 80224-2550
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Country | US
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Telephone | 720-772-1619
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Fax |
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Provider Business Mailing Address
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Address Line | 9025 S YOSEMITE ST UNIT 2408
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City | LONE TREE
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State | CO
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Zip | 80124-2961
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0002439
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License Number State | CO
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