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General NPI Number Information
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NPI Number | 1740729201
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Entity Type | Organization
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Legal Business Name | NANCY BILELLO L.AC., INC.
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 3460 S SHERMAN ST #201
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2681
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Country | US
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Telephone | 720-280-4905
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Fax |
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Provider Business Mailing Address
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Address Line | 15880 W 14TH PL
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City | GOLDEN
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State | CO
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Zip | 80401-2925
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Country | US
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Telephone | 720-280-4905
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MS. NANCY BILELLO
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Credential | L.AC.
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Telephone | 720-280-4905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 536
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License Number State | CO
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