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General NPI Number Information
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NPI Number | 1720721129
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURENKY LLC
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 747 BUTTERMILK PIKE
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City | CRESCENT SPRINGS
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State | KY
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Zip | 41017-1310
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Country | US
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Telephone | 859-586-0111
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Fax | 859-242-7008
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Provider Business Mailing Address
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Address Line | 747 BUTTERMILK PIKE
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City | CRESCENT SPRINGS
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State | KY
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Zip | 41017-1310
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Country | US
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Telephone | 859-586-0111
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Fax | 859-242-7008
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KRISTI A GROGAN
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Credential | PRESIDENT
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Telephone | 859-802-9770
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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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