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General NPI Number Information
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NPI Number | 1760130025
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Entity Type | Organization
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Legal Business Name | REDFERN ACUPUNCTURE AND HERBS
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Dates
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Enumeration Date | 03/16/2022
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 53 PLAIN ST # 7
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City | BRAINTREE
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State | MA
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Zip | 02184-7049
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Country | US
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Telephone | 781-519-6823
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Fax |
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Provider Business Mailing Address
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Address Line | 53 PLAIN ST # 7
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City | BRAINTREE
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State | MA
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Zip | 02184-7049
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Country | US
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Telephone | 781-519-6823
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST/OWNER
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Name | JESSICA REDFERN
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Credential | LIC. AC.
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Telephone | 781-519-6823
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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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