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General NPI Number Information
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NPI Number | 1851581326
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Entity Type | Individual
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Provider Name | TAMIE T BILAZZO LIC. AC.
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Gender | Female
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 16 CLARKE ST SUITE B-5
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City | LEXINGTON
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State | MA
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Zip | 02421-4988
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Country | US
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Telephone | 781-254-2206
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Fax |
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Provider Business Mailing Address
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Address Line | 79 SCHOOL ST
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City | ARLINGTON
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State | MA
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Zip | 02476-6121
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Country | US
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Telephone | 781-777-1017
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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 | 226332
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License Number State | MA
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