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NPI 1518848696

NPI 1518848696 : RITUALS ACUPUNCTURE LLC : BOULDER, CO

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General NPI Number Information
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    NPI Number           |    1518848696
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    Entity Type          |    Organization 
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    Legal Business Name  |    RITUALS ACUPUNCTURE LLC 
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Dates
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    Enumeration Date     |    09/08/2025
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    Last Update Date     |    09/08/2025
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Provider Practice Location Address
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    Address Line         |    4440 ARAPAHOE AVE STE 215 
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    City                 |    BOULDER
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    State                |    CO
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    Zip                  |    80303-9101
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    Country              |    US
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    Telephone            |    720-505-5353
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    Fax                  |    720-505-5328
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Provider Business Mailing Address
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    Address Line         |    4440 ARAPAHOE AVE STE 215 
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    City                 |    BOULDER
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    State                |    CO
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    Zip                  |    80303-9101
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    Country              |    US
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    Telephone            |    720-505-5353
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    Fax                  |    720-505-5328
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Authorized Official
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    Title or Position    |    ACUPUNCTURIST
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    Name                 |     ESME  CODY 
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    Credential           |    LAC
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    Telephone            |    720-505-5323
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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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