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General NPI Number Information
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NPI Number | 1700684248
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Entity Type | Organization
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Legal Business Name | BUDDHA HAND HEALTH AND COACHING LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 3958 N AVONDALE AVE
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City | CHICAGO
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State | IL
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Zip | 60641-6245
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Country | US
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Telephone | 240-603-8791
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Fax |
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Provider Business Mailing Address
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Address Line | 3024 N HAUSSEN CT
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City | CHICAGO
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State | IL
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Zip | 60618-6513
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Country | US
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Telephone | 240-603-8791
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Fax |
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | CHRISTIAN VILLACRES
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Credential | DAOM
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Telephone | 240-603-8791
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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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