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General NPI Number Information
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NPI Number | 1801267885
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Entity Type | Organization
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Legal Business Name | ACU-NA WELLNESS CENTER, INC
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 45 COMMERCE DR
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3470
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Country | US
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Telephone | 828-692-2440
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Fax |
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Provider Business Mailing Address
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Address Line | 627 SHAWN RACHEL PKWY
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-9523
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Country | US
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Telephone | 828-692-2440
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. MARY JANE HOUGE
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Credential | L.AC.
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Telephone | 828-692-2440
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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 | 484
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License Number State | NC
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