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General NPI Number Information
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NPI Number | 1659991214
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Entity Type | Organization
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Legal Business Name | EIGHT CRANES ACUPUNCTURE & COUNSELING, LLC
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 51 JOHNNY MERCER BLVD STE B2
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City | SAVANNAH
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State | GA
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Zip | 31410-4924
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Country | US
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Telephone | 912-349-2101
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Fax |
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Provider Business Mailing Address
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Address Line | 51 JOHNNY MERCER BLVD STE B2
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City | SAVANNAH
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State | GA
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Zip | 31410-4924
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Country | US
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Telephone | 912-349-2101
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Fax | 912-480-9679
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Authorized Official
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Title or Position | EMPLOYEE
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Name | MRS. ELIZABETH HOUSE BRODHEAD
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Credential | LCSW
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Telephone | 912-349-2101
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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