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General NPI Number Information
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NPI Number | 1861981961
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Entity Type | Organization
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Legal Business Name | OWLFEATHER HOLISTIC MEDICINE, LLC
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Dates
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Enumeration Date | 05/03/2018
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Last Update Date | 05/03/2018
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Provider Practice Location Address
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Address Line | 127 E PATRICK ST
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City | FREDERICK
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State | MD
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Zip | 21701-5677
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Country | US
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Telephone | 240-405-8289
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Fax |
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Provider Business Mailing Address
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Address Line | 7 MAIN ST
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City | WALKERSVILLE
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State | MD
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Zip | 21793-8640
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Country | US
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Telephone | 240-405-8289
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE OWLFEATHER
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Credential | L.AC
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Telephone | 240-405-8289
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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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