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General NPI Number Information
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NPI Number | 1548766728
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Entity Type | Organization
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Legal Business Name | TRADITIONAL HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 403 RACE ST FL 2
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City | CAMBRIDGE
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State | MD
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Zip | 21613-1835
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Country | US
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Telephone | 410-924-7279
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Fax |
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Provider Business Mailing Address
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Address Line | 310 S AURORA ST
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City | EASTON
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State | MD
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Zip | 21601-3429
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Country | US
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Telephone | 410-924-7279
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MARIE PIERRE NUTHALL
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Credential | LAC
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Telephone | 410-924-7279
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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 | U02055
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License Number State | MD
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