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General NPI Number Information
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NPI Number | 1841701604
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Entity Type | Organization
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Legal Business Name | NASHUA ACUPUNCTURE CENTER, LLC
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 142 MAIN ST RM 301
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City | NASHUA
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State | NH
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Zip | 03060-2798
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Country | US
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Telephone | 603-324-7509
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Fax |
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Provider Business Mailing Address
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Address Line | 142 MAIN ST RM 301
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City | NASHUA
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State | NH
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Zip | 03060-2798
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Country | US
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Telephone | 603-324-7509
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA SUTTER-FRANCIS
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Credential |
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Telephone | 603-324-7509
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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 | 187
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License Number State | NH
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