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General NPI Number Information
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NPI Number | 1699508903
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Entity Type | Organization
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Legal Business Name | SPREADING ROOTS ACUPUNCTURE, PLLC
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Dates
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Enumeration Date | 08/22/2024
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 359 E MAIN ST STE 3B
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3035
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Country | US
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Telephone | 914-486-5958
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Fax |
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Provider Business Mailing Address
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Address Line | 359 E MAIN ST STE 3B
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3035
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Country | US
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Telephone | 914-486-5958
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALLISON URBANIK KIMMEL
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Credential | DACM
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Telephone | 914-486-5958
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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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