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General NPI Number Information
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NPI Number | 1871709766
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Entity Type | Individual
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Provider Name | ADELE MORALES GILL LAC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10716 LITTLE PATUXENT PARKWAY 210
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City | COLUMBIA
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State | MD
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Zip | 21044-3117
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Country | US
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Telephone | 301-490-0165
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Fax | 301-490-3228
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Provider Business Mailing Address
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Address Line | 9546 MANY MILE MEWS
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City | COLUMBIA
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State | MD
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Zip | 21046-2804
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Country | US
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Telephone | 301-490-0165
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Fax | 301-490-3228
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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 | U01100
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License Number State | MD
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