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General NPI Number Information
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NPI Number | 1467911156
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Entity Type | Individual
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Provider Name | LAURA ANNE HADEED L.AC. DIPL.O.M, LMT
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Gender | Female
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Dates
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Enumeration Date | 03/13/2019
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 274 W MAIN ST
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City | VICTOR
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State | NY
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Zip | 14564-1157
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Country | US
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Telephone | 585-398-8177
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Fax |
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Provider Business Mailing Address
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Address Line | 27 CREST AVE
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City | MACEDON
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State | NY
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Zip | 14502-8909
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Country | US
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Telephone | 585-469-3437
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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 | 006132
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License Number State | NY
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