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General NPI Number Information
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NPI Number | 1861551103
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Entity Type | Individual
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Provider Name | M. TAIS R.C. HOWARD LIC. AC.
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10 HOLDEN ST
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City | MALDEN
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State | MA
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Zip | 02148-5238
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Country | US
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Telephone | 617-803-1114
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Fax |
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Provider Business Mailing Address
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Address Line | 74 GARLAND ST
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City | EVERETT
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State | MA
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Zip | 02149-5067
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Country | US
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Telephone | 617-803-1114
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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 | 292
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License Number State | MA
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