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General NPI Number Information
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NPI Number | 1841997848
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Entity Type | Organization
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Legal Business Name | CENTERPOINT ACUPUNCTURE AND WELLNESS INC.
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 474 MAIN STREET
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City | MIDDLEFIELD
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State | CT
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Zip | 06455
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Country | US
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Telephone | 860-704-9091
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Fax |
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Provider Business Mailing Address
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Address Line | 1083 CHAMBERLAIN HILL RD
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City | MIDDLETOWN
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State | CT
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Zip | 06457-5546
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Country | US
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Telephone | 860-922-1073
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | JEREMY CARROLL
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Credential | L.AC., MAOM
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Telephone | 860-922-1073
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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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