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General NPI Number Information
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NPI Number | 1912145665
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Entity Type | Individual
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Provider Name | MAREN E CORNISH N.D., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 83 EAST AVE STE 309
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City | NORWALK
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State | CT
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Zip | 06851-4902
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Country | US
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Telephone | 203-354-9849
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Fax | 203-354-9850
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Provider Business Mailing Address
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Address Line | 83 EAST AVE STE 309
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City | NORWALK
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State | CT
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Zip | 06851-4902
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Country | US
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Telephone | 203-354-9849
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Fax | 203-354-9850
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 000520
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 000407
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License Number State | CT
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