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General NPI Number Information
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NPI Number | 1598591133
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Entity Type | Organization
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Legal Business Name | PEAK ACUPUNCTURE AND WELLNESS, LLC
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 186 THOMAS JOHNSON DR STE 200
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City | FREDERICK
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State | MD
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Zip | 21702-4481
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Country | US
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Telephone | 512-699-4596
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Fax |
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Provider Business Mailing Address
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Address Line | 11078 SANANDREW DR
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City | NEW MARKET
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State | MD
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Zip | 21774-6707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, PRINCIPAL
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Name | KELLY SAUER
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Credential | LAC
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Telephone | 512-699-4596
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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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