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NPI 1750548376

NPI 1750548376 : SHARON SARA BACIGALUPI MPH, LIC.AC. : BROOKLINE, MA

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General NPI Number Information
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    NPI Number           |    1750548376
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    Entity Type          |    Individual 
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    Provider Name        |    SHARON SARA BACIGALUPI MPH, LIC.AC.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/21/2008
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    Last Update Date     |    04/17/2025
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Provider Practice Location Address
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    Address Line         |    1318 BEACON ST STE 10 
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    City                 |    BROOKLINE
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    State                |    MA
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    Zip                  |    02446-3793
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    Country              |    US
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    Telephone            |    617-274-8754
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    305 MANNING ST 
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    City                 |    NEEDHAM
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    State                |    MA
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    Zip                  |    02492-3507
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    Country              |    US
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    Telephone            |    617-959-5547
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    AC 12475
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    234359
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    License Number State |    MA
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