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General NPI Number Information
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NPI Number | 1851512743
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Entity Type | Organization
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Legal Business Name | CENTER FOR HOMEOPATHY
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 220 WESTERN AVE
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6222
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Country | US
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Telephone | 802-254-2928
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Fax |
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Provider Business Mailing Address
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Address Line | 220 WESTERN AVE
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6222
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Country | US
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Telephone | 802-254-2928
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIAN JONAS
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Credential | CCH, LIC. AC.
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Telephone | 802-254-2928
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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 | 0910000017
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License Number State | VT
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