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General NPI Number Information
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NPI Number | 1891146981
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE & HERBAL HEALTH, LTD.
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Dates
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Enumeration Date | 06/29/2016
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 7400 E ARAPAHOE RD STE 150
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City | CENTENNIAL
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State | CO
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Zip | 80112-1280
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Country | US
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Telephone | 303-224-9920
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Fax |
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Provider Business Mailing Address
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Address Line | 900 S PENNSYLVANIA ST
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City | DENVER
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State | CO
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Zip | 80209-4187
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Country | US
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Telephone | 720-696-2788
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRENTON HARVEY
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Credential | ACUPUNCTURIST
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Telephone | 720-696-2788
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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 | 7520
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License Number State | CO
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