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General NPI Number Information
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NPI Number | 1780120501
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Entity Type | Organization
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Legal Business Name | THE HEALTH CENTER FOR INTEGRATIVE MEDICINE
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 741 LOCUST AVENUE
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City | WASHINGTON
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State | PA
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Zip | 15301-2735
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Country | US
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Telephone | 724-906-4798
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Fax | 724-918-9068
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Provider Business Mailing Address
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Address Line | 741 LOCUST AVENUE
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City | WASHINGTON
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State | PA
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Zip | 15301-2735
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Country | US
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Telephone | 724-906-4798
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Fax | 724-918-9068
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TAMMI SUE HORR
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Credential |
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Telephone | 724-906-4798
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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 | PAK000186
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD064028L
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License Number State | PA
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