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General NPI Number Information
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NPI Number | 1851717862
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE HEALTH LINK, LLC
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Dates
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Enumeration Date | 03/14/2014
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 750 S 15TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-2186
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Country | US
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Telephone | 505-310-8913
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Fax |
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Provider Business Mailing Address
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Address Line | 312 PARSONS AVE
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City | BALA CYNWYD
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State | PA
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Zip | 19004-2817
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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 | PRESIDENT
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Name | TANSY BRIGGS
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Credential | DOM, L.OM
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Telephone | 505-310-8913
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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 | 0000111
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License Number State | PA
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