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General NPI Number Information
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NPI Number | 1902369515
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Entity Type | Organization
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Legal Business Name | RISE ACUPUNCTURE & HOLISTIC MEDICINE
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | 3401 QUEBEC ST STE 6900
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City | DENVER
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State | CO
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Zip | 80207-2399
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Country | US
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Telephone | 720-507-7238
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 QUEBEC ST STE 6900
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City | DENVER
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State | CO
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Zip | 80207-2399
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Country | US
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Telephone | 720-507-7238
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | ROCIO DE LA ROSA
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Credential | L.AC.
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Telephone | 720-507-7238
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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 |
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License Number State |
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