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General NPI Number Information
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NPI Number | 1588850184
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Entity Type | Individual
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Provider Name | ANN M DRISCOLL LIC. AC.
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Gender | Female
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 14701 DETROIT AVE SUITE 370
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City | LAKEWOOD
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State | OH
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Zip | 44107-4122
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Country | US
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Telephone | 216-221-2632
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Fax |
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Provider Business Mailing Address
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Address Line | 14701 DETROIT AVE SUITE 370
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City | LAKEWOOD
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State | OH
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Zip | 44107-4115
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Country | US
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Telephone | 216-221-2632
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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 | 212670
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 000045
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License Number State | OH
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