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General NPI Number Information
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NPI Number | 1821799347
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Entity Type | Organization
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Legal Business Name | GOLDEN HOUR ACUPUNCTURE & WELLNESS
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 12 N ECHOHAWK LN STE 104
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City | EAGLE
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State | ID
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Zip | 83616-4011
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Country | US
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Telephone | 208-391-3732
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Fax |
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Provider Business Mailing Address
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Address Line | 1582 FAIRWAY ST
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City | MIDDLETON
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State | ID
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Zip | 83644-5052
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Country | US
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Telephone | 916-628-2205
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | KIRSTEN MALMENDIER
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Credential | L.AC
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Telephone | 916-224-3242
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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 |
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License Number State |
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