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General NPI Number Information
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NPI Number | 1548633795
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Entity Type | Organization
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Legal Business Name | WAY WELLNESS CENTER
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 1150 FREEPORT RD
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City | PITTSBURGH
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State | PA
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Zip | 15238-3104
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Country | US
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Telephone | 412-772-1461
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Fax | 412-756-8451
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Provider Business Mailing Address
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Address Line | 1150 FREEPORT RD
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City | PITTSBURGH
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State | PA
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Zip | 15238-3104
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Country | US
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Telephone | 412-772-1461
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Fax | 412-756-8451
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Authorized Official
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Title or Position | LAC
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Name | C SYDNIE BRYANT
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Credential | LAC
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Telephone | 412-772-1461
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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 | PA
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