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General NPI Number Information
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NPI Number | 1518007525
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Entity Type | Organization
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Legal Business Name | THE FLOW OF LIFE INCORPORATED
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8390 E VIA DE VENTURA SUITE F114
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3190
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Country | US
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Telephone | 480-998-7501
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Fax | 480-998-5503
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Provider Business Mailing Address
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Address Line | 4028 N GRANITE REEF RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-4921
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Country | US
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Telephone | 602-380-4995
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELE MUTASCIO
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Credential | L.AC., DIPL. OM
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Telephone | 602-380-4995
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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 | 0469
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License Number State | AZ
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