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General NPI Number Information
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NPI Number | 1568904225
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Entity Type | Individual
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Provider Name | ERIC S. CUTLIP L.AC
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Gender | Male
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Dates
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Enumeration Date | 11/12/2016
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 155 RESTON PL
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City | GASSAWAY
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State | WV
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Zip | 26624-9356
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Country | US
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Telephone | 304-644-4997
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Fax |
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Provider Business Mailing Address
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Address Line | 375 S FRANKLIN AVE
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City | SUTTON
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State | WV
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Zip | 26601-1605
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Country | US
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Telephone | 304-644-4997
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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 | 96236
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License Number State | WV
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