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General NPI Number Information
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NPI Number | 1467700344
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Entity Type | Individual
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Provider Name | KEITH M LOOP BA, DSOM, JD, LBMT
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Gender | Male
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Dates
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Enumeration Date | 08/26/2012
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 188 CHARLOTTE ST STE 1A
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City | ASHEVILLE
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State | NC
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Zip | 28801-1910
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Country | US
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Telephone | 971-998-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 188 CHARLOTTE ST STE 1A
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City | ASHEVILLE
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State | NC
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Zip | 28801-1910
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Country | US
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Telephone | 971-998-0800
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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 | 0121000873
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC17725
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC180187
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU0002336
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0019016277
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT0000582
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 17539
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License Number State | OR
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Taxonomy #8
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 19192
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2023
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License Number State | NC
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