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General NPI Number Information
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NPI Number | 1871801654
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Entity Type | Organization
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Legal Business Name | INNER LIGHT WELLNESS, INC.
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 797 E LANCASTER AVE SUITE 11
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-3315
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Country | US
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Telephone | 610-357-4376
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BLACK HAWK CIR APT. M-2
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2772
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Country | US
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Telephone | 610-357-4376
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MARGARET A. CELLI
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Credential | L.AC.
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Telephone | 610-357-4376
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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 | KO000525
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License Number State | PA
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