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General NPI Number Information
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NPI Number | 1780188177
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Entity Type | Organization
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Legal Business Name | MEDICAL ACUPUNCTURE LLC
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 300 MOUNT LEBANON BLVD STE 2200B
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City | PITTSBURGH
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State | PA
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Zip | 15234-1508
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Country | US
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Telephone | 412-884-8990
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Fax | 412-884-8989
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Provider Business Mailing Address
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Address Line | 300 MOUNT LEBANON BLVD STE 2200B
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City | PITTSBURGH
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State | PA
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Zip | 15234-1508
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Country | US
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Telephone | 412-884-8990
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Fax | 412-884-8989
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Authorized Official
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Title or Position | DOM/ LICENSED ACUPUNCTURIST
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Name | MS. KAREN BATTLE
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Credential | OMD LAC
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Telephone | 772-501-4977
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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 | AK1102
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License Number State | PA
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