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General NPI Number Information
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NPI Number | 1679842579
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Entity Type | Individual
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Provider Name | JAMES PASTORE M.AC.,L.AC.
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Gender | Male
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 03/01/2015
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Provider Practice Location Address
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Address Line | 4963 ELM ST STE 100
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City | BETHESDA
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State | MD
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Zip | 20814-7909
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Country | US
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Telephone | 301-986-1090
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Fax |
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Provider Business Mailing Address
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Address Line | 11911 PARKLAWN DR APT 104
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City | ROCKVILLE
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State | MD
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Zip | 20852-2622
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Country | US
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Telephone | 202-669-8945
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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 | 808371
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC500148
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License Number State | DC
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