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General NPI Number Information
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NPI Number | 1861783573
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Entity Type | Organization
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Legal Business Name | SYMMETRY HEALING, LLC
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 702 OAK STREET
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487
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Country | US
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Telephone | 970-846-5602
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 770147
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80477-0147
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Country | US
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Telephone | 970-846-5602
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LISA THORNHILL
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Credential | L.AC.
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Telephone | 970-846-5602
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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 | 1278
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License Number State | CO
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