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General NPI Number Information
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NPI Number | 1558743971
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE CARE SOLUTION
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 3790 28TH ST SW SUITE B
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City | GRANDVILLE
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State | MI
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Zip | 49418-1390
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Country | US
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Telephone | 616-419-6924
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Fax |
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Provider Business Mailing Address
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Address Line | 3790 28TH ST SW SUITE B
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City | GRANDVILLE
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State | MI
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Zip | 49418-1390
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Country | US
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Telephone | 616-419-6924
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAYMOND WAN
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Credential | M.AC., ADS., LMT.
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Telephone | 616-419-6924
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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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