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General NPI Number Information
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NPI Number | 1851987036
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Entity Type | Organization
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Legal Business Name | RALEIGH ACUPUNCTURE INC
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Dates
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Enumeration Date | 12/12/2020
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Last Update Date | 12/12/2020
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Provider Practice Location Address
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Address Line | 5530 MUNFORD RD STE 109
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City | RALEIGH
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State | NC
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Zip | 27612-2638
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Country | US
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Telephone | 919-815-8115
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Fax | 855-967-2993
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Provider Business Mailing Address
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Address Line | 5530 MUNFORD RD STE 109
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City | RALEIGH
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State | NC
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Zip | 27612-2638
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Country | US
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Telephone | 919-815-8115
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Fax | 855-967-2993
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MARK MOLINOFF
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Credential | LIC. AC.
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Telephone | 919-815-8115
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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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