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General NPI Number Information
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NPI Number | 1477204337
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Entity Type | Organization
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Legal Business Name | VAIL VALLEY WELLNESS
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 20 EAGLE RD
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City | AVON
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State | CO
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Zip | 81620
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Country | US
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Telephone | 970-393-5143
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7361
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City | AVON
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State | CO
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Zip | 81620-7361
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Country | US
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Telephone | 970-393-5143
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR OF ACUPUNCTURE
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Name | BECKY BURGESS
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Credential | DACM
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Telephone | 970-393-5143
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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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