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General NPI Number Information
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NPI Number | 1548651680
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Entity Type | Individual
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Provider Name | RANA SALEH LAC
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Gender | Female
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 57 PLAINS RD STE 3A
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City | MILFORD
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State | CT
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Zip | 06461-2573
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Country | US
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Telephone | 203-414-8764
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Fax |
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Provider Business Mailing Address
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Address Line | 588 BOSTON POST RD
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City | MILFORD
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State | CT
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Zip | 06460-2636
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Country | US
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Telephone | 203-693-3430
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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 | 000619
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 621
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License Number State | CT
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