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General NPI Number Information
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NPI Number | 1487452975
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Entity Type | Organization
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Legal Business Name | LIFE QI HOLISTIC MEDICINE LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 150 WOOD RD STE 403
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City | BRAINTREE
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State | MA
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Zip | 02184-2505
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Country | US
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Telephone | 781-428-4515
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Fax |
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Provider Business Mailing Address
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Address Line | 11 NORMANS WAY
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City | KINGSTON
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State | MA
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Zip | 02364-1877
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Country | US
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Telephone | 978-852-0500
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Fax |
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | MR. MICHAEL DELLORFANO
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Credential | LIC. ACU.
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Telephone | 781-428-4515
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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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