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General NPI Number Information
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NPI Number | 1871746693
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Entity Type | Organization
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Legal Business Name | NORTH CAPE ACUPUNCTURE
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 2321 E CAPITOL DR SUITE 100
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City | SHOREWOOD
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State | WI
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Zip | 53211-2119
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Country | US
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Telephone | 414-803-2397
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 E CAPITOL DR SUITE 100
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City | SHOREWOOD
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State | WI
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Zip | 53211-2119
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Country | US
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Telephone | 414-803-2397
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MS. DORIS KITAZAKI
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Credential | CERTIFIED ACUPUNCTUR
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Telephone | 414-803-2397
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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 | 465055
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License Number State | WI
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