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General NPI Number Information
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NPI Number | 1770621369
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Entity Type | Organization
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Legal Business Name | GENTLE CURRENTS ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 330 PORTSMOUTH AVE
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City | GREENLAND
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State | NH
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Zip | 03840-2220
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Country | US
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Telephone | 603-436-6883
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Fax |
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Provider Business Mailing Address
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Address Line | 330 PORTSMOUTH AVE
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City | GREENLAND
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State | NH
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Zip | 03840-2220
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Country | US
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Telephone | 603-436-6883
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LISA ROTHERMICH
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Credential | LIC.AC.
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Telephone | 603-436-6883
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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 | ACP 002
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License Number State | NH
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