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General NPI Number Information
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NPI Number | 1497104665
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Entity Type | Organization
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Legal Business Name | CURA ACUSPA, INC.
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 28 W LANCASTER AVE 1ST FLOOR
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City | ARDMORE
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State | PA
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Zip | 19003-1311
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Country | US
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Telephone | 267-471-8814
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Fax |
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Provider Business Mailing Address
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Address Line | 28 W LANCASTER AVE 1ST FLOOR
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City | ARDMORE
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State | PA
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Zip | 19003-1311
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Country | US
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Telephone | 267-471-8814
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SO SHIM
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Credential |
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Telephone | 267-471-8814
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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 | AK001146
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License Number State | PA
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