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General NPI Number Information
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NPI Number | 1720462690
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Entity Type | Organization
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Legal Business Name | SUSAN C BATSON ACUPUNCTURE
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 40 WILLARD ST STE 203
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City | QUINCY
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State | MA
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Zip | 02169-1252
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Country | US
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Telephone | 617-694-1785
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Fax |
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Provider Business Mailing Address
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Address Line | 40 WILLARD STREET, SUITE 203
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City | QUINCY
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State | MA
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Zip | 02169
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Country | US
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Telephone | 617-694-1785
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST/HERBALIST
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Name | MS. SUSAN CAROL BATSON
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Credential | MAOM, LIC.AC.
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Telephone | 617-694-1785
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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 | 238096
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License Number State | MA
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