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General NPI Number Information
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NPI Number | 1518464890
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Entity Type | Individual
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Provider Name | ALICIA M. SHULMAN L.AC., DIPL.AC.
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Gender | Female
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 1639 N HANCOCK ST STE 102
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City | PHILADELPHIA
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State | PA
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Zip | 19122-3133
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Country | US
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Telephone | 215-964-9056
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Fax |
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Provider Business Mailing Address
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Address Line | 104 S. WAYNE AVE., BOX 160
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City | WAYNE
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State | PA
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Zip | 19087
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Country | US
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Telephone | 267-606-0370
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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 | AK001207
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License Number State | PA
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