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General NPI Number Information
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NPI Number | 1477918837
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Entity Type | Individual
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Provider Name | AUTUM KIRGAN L.AC
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Gender | Female
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 222 N LAFAYETTE ST STE 24
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City | SHELBY
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State | NC
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Zip | 28150-4450
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Country | US
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Telephone | 980-404-9477
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Fax | 704-495-6681
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Provider Business Mailing Address
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Address Line | 20 MILLER ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-4264
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Country | US
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Telephone | 828-785-2670
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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 |
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License Number State |
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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 | 836
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License Number State | NC
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