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General NPI Number Information
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NPI Number | 1568068039
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Entity Type | Organization
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Legal Business Name | AMY'S HOLISTIC HEALTH LLC
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 09/12/2021
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Provider Practice Location Address
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Address Line | 405 URBAN ST STE 360
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City | LAKEWOOD
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State | CO
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Zip | 80228-1205
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Country | US
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Telephone | 720-593-0423
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Fax |
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Provider Business Mailing Address
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Address Line | 3845 TENNYSON ST # 166
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City | DENVER
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State | CO
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Zip | 80212-2107
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Country | US
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Telephone | 207-593-0423
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Fax |
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Authorized Official
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Title or Position | OWNER, ACUPUNCTURIST
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Name | AMY MALONE
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Credential | RN, LAC
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Telephone | 720-593-0423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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