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General NPI Number Information
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NPI Number | 1528521226
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Entity Type | Individual
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Provider Name | KATHERINE LOUISE PEARCE LAC
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Gender | Female
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 3043 MARITIME FOREST DR
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City | JOHNS ISLAND
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State | SC
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Zip | 29455-4107
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Country | US
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Telephone | 707-481-1635
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Fax |
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Provider Business Mailing Address
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Address Line | 3043 MARITIME FOREST DR
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City | JOHNS ISLAND
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State | SC
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Zip | 29455-4107
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Country | US
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Telephone | 707-481-1635
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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 | 379
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 6706
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License Number State | CA
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