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General NPI Number Information
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NPI Number | 1861908675
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Entity Type | Organization
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Legal Business Name | SYNERGY ACUPUNCTURE & INTEGRATIVE WELLNESS SOLUTIONS, PLLC
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Dates
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Enumeration Date | 12/18/2017
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 135 NH ROUTE 101A
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City | AMHERST
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State | NH
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Zip | 03031-2248
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Country | US
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Telephone | 603-672-0272
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Fax | 603-672-0270
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Provider Business Mailing Address
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Address Line | PO BOX 1089
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City | MERRIMACK
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State | NH
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Zip | 03054-1089
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Country | US
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Telephone | 603-672-0272
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Fax | 603-672-0270
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Authorized Official
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Title or Position | OWNER
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Name | MS. DIANE M CHASE
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Credential | L.AC., M.AC.
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Telephone | 603-672-0272
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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 | 237
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License Number State | NH
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