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General NPI Number Information
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NPI Number | 1922480086
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Entity Type | Organization
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Legal Business Name | CHARLESTON COMMUNITY ACUPUNCTURE
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 06/25/2015
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Provider Practice Location Address
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Address Line | 1307 SAVANNAH HWY
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City | CHARLESTON
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State | SC
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Zip | 29407-7824
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Country | US
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Telephone | 843-763-7200
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Fax | 843-763-7200
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Provider Business Mailing Address
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Address Line | 1307 SAVANNAH HWY
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City | CHARLESTON
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State | SC
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Zip | 29407-7824
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Country | US
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Telephone | 843-763-7200
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Fax | 843-763-7200
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Authorized Official
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Title or Position | ACUPUNCTURIST & CLINIC OWNER
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Name | CHAD P HOUFEK
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Credential | L.AC.
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Telephone | 843-763-7200
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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 | SC 183
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | SC 144
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License Number State | SC
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