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General NPI Number Information
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NPI Number | 1538989140
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Entity Type | Organization
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Legal Business Name | REIS ACUPUNCTURE AND WELLNESS
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 16 COHASSET ST
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City | ROSLINDALE
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State | MA
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Zip | 02131-3013
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Country | US
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Telephone | 508-280-7914
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Fax |
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Provider Business Mailing Address
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Address Line | 32 JAMAICA ST
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-3819
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Country | US
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Telephone | 508-280-7914
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | NINA ELIZABETH REIS
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Credential | L. AC.
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Telephone | 508-280-7914
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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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