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General NPI Number Information
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NPI Number | 1477730299
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Entity Type | Individual
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Provider Name | WILLIAM P CEBULSKIE R-AC
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Gender | Male
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 101 N MAIN ST
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City | DU BOIS
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State | PA
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Zip | 15801-1894
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Country | US
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Telephone | 814-653-8701
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Fax |
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Provider Business Mailing Address
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Address Line | 608 HILL ST
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City | REYNOLDSVILLE
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State | PA
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Zip | 15851-1304
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Country | US
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Telephone | 814-653-8701
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Fax | 814-653-7853
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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 | AK000530L
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License Number State | PA
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