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General NPI Number Information
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NPI Number | 1841748589
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Entity Type | Individual
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Provider Name | JACQUELYN STRATTON L.AC.
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Gender | Female
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 27 MINUTE MAN TRL
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City | ROCHESTER
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State | NY
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Zip | 14624-4916
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Country | US
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Telephone | 585-750-1877
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1221
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City | PENFIELD
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State | NY
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Zip | 14526-5221
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Country | US
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Telephone |
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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 | 25005805
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License Number State | NY
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