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General NPI Number Information
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NPI Number | 1821765835
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Entity Type | Organization
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Legal Business Name | CARNATION ACUPUNCTURE LLC
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 10 WINTHROP ST STE 316W
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City | WORCESTER
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State | MA
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Zip | 01604-4435
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Country | US
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Telephone | 617-959-0110
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Fax |
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Provider Business Mailing Address
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Address Line | 10 WINTHROP ST STE 316W
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City | WORCESTER
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State | MA
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Zip | 01604-4435
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Country | US
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Telephone | 617-959-0110
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Fax |
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Authorized Official
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Title or Position | FOUNDER, CEO
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Name | SINA FOROUTANJAZI
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Credential |
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Telephone | 617-959-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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