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General NPI Number Information
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NPI Number | 1649189937
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Entity Type | Individual
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Provider Name | ALYSSA TREBILCOCK L.AC.
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Gender | Female
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 2705 DETROIT AVE
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City | CLEVELAND
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State | OH
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Zip | 44113-2729
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Country | US
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Telephone | 216-965-6859
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Fax |
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Provider Business Mailing Address
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Address Line | 12407 LAKE SHORE BLVD
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City | BRATENAHL
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State | OH
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Zip | 44108-1132
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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 |
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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 | 65.000465
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License Number State | OH
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