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General NPI Number Information
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NPI Number | 1639730468
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Entity Type | Organization
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Legal Business Name | SOURCE POINT ACUPUNCTURE LLC
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 6 GROVE ST.
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City | WOLFEBORO
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State | NH
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Zip | 03894
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Country | US
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Telephone | 603-513-2482
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 983
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City | WOLFEBORO FALLS
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State | NH
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Zip | 03896-0983
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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 / LICENSED ACUPUNCTURIST
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Name | SUSAN BROWNING
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Credential | L.A.C
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Telephone | 603-513-2482
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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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