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General NPI Number Information
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NPI Number | 1790041952
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Entity Type | Individual
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Provider Name | VICKI LYNN IRWIN L.AC.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 155 MAIN DUNSTABLE RD STE 135
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City | NASHUA
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State | NH
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Zip | 03060-3640
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Country | US
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Telephone | 603-589-9805
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Fax | 603-417-2927
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Provider Business Mailing Address
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Address Line | 155 MAIN DUNSTABLE RD STE 135
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City | NASHUA
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State | NH
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Zip | 03060-3640
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Country | US
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Telephone | 603-589-9805
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Fax | 603-417-2927
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | ACP183
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License Number State | NH
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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 | 183
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License Number State | NH
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