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General NPI Number Information
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NPI Number | 1902272404
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Entity Type | Organization
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Legal Business Name | HEALTH FOR LIFE CLINIC, INC.
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 112 N CORNELL AVE
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City | LANCASTER
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State | PA
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Zip | 17603-4502
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Country | US
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Telephone | 717-669-1050
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Fax | 717-397-4543
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Provider Business Mailing Address
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Address Line | 112 N CORNELL AVE
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City | LANCASTER
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State | PA
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Zip | 17603-4502
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Country | US
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Telephone | 717-669-1050
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Fax | 717-397-4543
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Authorized Official
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Title or Position | NATUROPATHIC DOCTOR, ACUPUNCTURIST
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Name | ANN M LEE
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Credential | N.D., L.AC.
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Telephone | 717-669-1050
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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 | AK001000
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License Number State | PA
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