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General NPI Number Information
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NPI Number | 1912227844
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Entity Type | Individual
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Provider Name | BETHANY ANNE HAUCH LIC AC, DVM
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Gender | Female
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 4801 HARGROVE RD SUITE 100
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City | RALEIGH
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State | NC
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Zip | 27616-1945
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Country | US
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Telephone | 919-636-2148
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 NORRIS ST
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City | RALEIGH
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State | NC
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Zip | 27604-2030
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Country | US
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Telephone | 919-274-9028
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Fax |
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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 |
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License Number State |
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