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General NPI Number Information
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NPI Number | 1710665955
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Entity Type | Organization
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Legal Business Name | SOLSTICE LLC
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 7307 US-9
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City | ELIZABETHTOWN
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State | NY
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Zip | 12932-1717
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Country | US
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Telephone | 518-873-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 7307 US-9
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City | ELIZABETHTOWN
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State | NY
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Zip | 12932-1717
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Country | US
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Telephone | 518-873-1122
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Fax |
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Authorized Official
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Title or Position | SHAMANIC REIKI MASTER PRACTIONEER
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Name | MR. PETER RICHARD MCNALLY
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Credential | REIKI
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Telephone | 518-873-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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