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General NPI Number Information
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NPI Number | 1518749779
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Entity Type | Organization
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Legal Business Name | OMAHA ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 14471 W CENTER RD
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City | OMAHA
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State | NE
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Zip | 68144-5401
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Country | US
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Telephone | 402-979-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 16746 PIERCE CIR
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City | OMAHA
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State | NE
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Zip | 68130-1303
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Country | US
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Telephone | 402-677-0057
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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 | CHELSEA BADDERS
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Credential |
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Telephone | 402-677-0057
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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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