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General NPI Number Information
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NPI Number | 1730588229
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Entity Type | Organization
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Legal Business Name | ABUNDANT WELLNESS ACUPUNCTURE
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 2349 MONROE AVE FL 2
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City | ROCHESTER
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State | NY
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Zip | 14618-3033
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Country | US
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Telephone | 585-210-0945
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Fax | 585-244-0945
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Provider Business Mailing Address
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Address Line | 2349 MONROE AVE FL 2
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City | ROCHESTER
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State | NY
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Zip | 14618-3033
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Country | US
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Telephone | 585-210-0945
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Fax | 585-244-0945
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Authorized Official
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Title or Position | OWNER/ACUPUNTURIST
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Name | RONALD R PRATT
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Credential | L.AC. M.AC.
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Telephone | 585-210-0945
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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 | 005045
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License Number State | NY
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