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General NPI Number Information
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NPI Number | 1629455522
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Entity Type | Organization
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Legal Business Name | GENTLE ACUPUNCTURE LLC
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Dates
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Enumeration Date | 04/29/2015
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 54 STILES RD SUITE 107
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City | SALEM
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State | NH
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Zip | 03079
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Country | US
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Telephone | 603-320-5271
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Fax |
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Provider Business Mailing Address
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Address Line | 54 STILES RD SUITE 107
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City | SALEM
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State | NH
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Zip | 03079
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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
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Name | FENG XIAO
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Credential |
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Telephone | 603-320-5271
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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 | 040
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License Number State | NH
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