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General NPI Number Information
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NPI Number | 1780075234
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Entity Type | Organization
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Legal Business Name | STEPPING STONE ACUPUNCTURE & WELLNESS LLC
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Dates
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Enumeration Date | 02/05/2015
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 316 WASHINGTON ST SUITE #1
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City | WELLESLEY
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State | MA
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Zip | 02481-4955
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Country | US
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Telephone | 781-898-4083
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Fax | 781-489-3423
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Provider Business Mailing Address
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Address Line | 316 WASHINGTON ST SUITE #1
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City | WELLESLEY
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State | MA
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Zip | 02481-4955
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Country | US
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Telephone | 781-898-4083
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Fax | 781-489-3423
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Authorized Official
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Title or Position | OWNER, LICENSED ACUPUNCTURIST
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Name | MARCIA PORTER GRIFFITH
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Credential | LIC.AC, MAOM
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Telephone | 781-898-4083
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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 | 254238
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License Number State | MA
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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 | 245805
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License Number State | MA
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