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General NPI Number Information
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NPI Number | 1750873378
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND APOTHECARY
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 1829 E FRANKLIN ST STE 900C
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City | CHAPEL HILL
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State | NC
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Zip | 27514-5869
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Country | US
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Telephone | 919-241-5395
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Fax | 877-867-3717
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Provider Business Mailing Address
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Address Line | 1829 E FRANKLIN ST STE 900C
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City | CHAPEL HILL
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State | NC
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Zip | 27514-5869
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Country | US
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Telephone | 919-241-5395
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Fax | 877-867-3717
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Authorized Official
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Title or Position | ACUPUNCTURIST AND HERBALIST
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Name | ABIGAIL WEAR
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Credential | LAC
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Telephone | 919-672-6132
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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 | LAC-951
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License Number State | NC
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