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General NPI Number Information
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NPI Number | 1871912832
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Entity Type | Organization
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Legal Business Name | BLOSSOM WELLNESS CENTRE
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 120 N YORK ST SUITE 110
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City | ELMHURST
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State | IL
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Zip | 60126-2856
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Country | US
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Telephone | 630-699-2481
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Fax |
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Provider Business Mailing Address
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Address Line | 120 N YORK ST SUITE 110
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City | ELMHURST
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State | IL
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Zip | 60126-2856
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Country | US
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Telephone | 630-699-2481
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN STRINGER
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Credential | LAC, DIPL. OM,
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Telephone | 630-699-2481
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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 | 198.00818
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License Number State | IL
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