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NPI 1700119617

NPI 1700119617 : ELISE JOY GREENBERG ACUPUNCTURIST : ALEXANDRIA, VA

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General NPI Number Information
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    NPI Number           |    1700119617
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    Entity Type          |    Individual 
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    Provider Name        |    ELISE JOY GREENBERG ACUPUNCTURIST
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/09/2009
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    Last Update Date     |    10/29/2025
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Provider Practice Location Address
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    Address Line         |    750 THORNTON WAY APT 539 
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    City                 |    ALEXANDRIA
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    State                |    VA
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    Zip                  |    22314-6519
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    Country              |    US
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    Telephone            |    301-613-9297
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    750 THORNTON WAY APT 539 
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    City                 |    ALEXANDRIA
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    State                |    VA
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    Zip                  |    22314-6519
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    Country              |    US
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    Telephone            |    301-613-9297
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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       |    0121000972
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    License Number State |    VA
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