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General NPI Number Information
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NPI Number | 1821119058
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Entity Type | Individual
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Provider Name | MARCY S WHITE LIC. AC.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 667 BOYLSTON ST 4TH FLOOR
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City | BOSTON
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State | MA
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Zip | 02116-4809
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Country | US
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Telephone | 617-281-0797
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Fax |
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Provider Business Mailing Address
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Address Line | 10 BOWDOIN ST APARTMENT # 404
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City | BOSTON
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State | MA
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Zip | 02114-4239
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Country | US
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Telephone | 617-281-0797
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Fax |
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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 | 207921
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License Number State | MA
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