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General NPI Number Information
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NPI Number | 1669058103
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Entity Type | Individual
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Provider Name | STAYCIE FRANCISCO M.AC., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 222 W COLD SPRING LN
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City | BALTIMORE
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State | MD
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Zip | 21210-2800
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Country | US
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Telephone | 443-710-7651
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Fax |
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Provider Business Mailing Address
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Address Line | 618 E 31ST ST
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City | BALTIMORE
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State | MD
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Zip | 21218-3530
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Country | US
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Telephone | 443-710-7651
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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 | U02678
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License Number State | MD
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