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NPI 1922785146

NPI 1922785146 : RED POPPY HEALING : SUN CITY WEST, AZ

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General NPI Number Information
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    NPI Number           |    1922785146
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    Entity Type          |    Organization 
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    Legal Business Name  |    RED POPPY HEALING 
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Dates
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    Enumeration Date     |    06/29/2023
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    Last Update Date     |    06/29/2023
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Provider Practice Location Address
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    Address Line         |    13830 W CAMINO DEL SOL STE 160 
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    City                 |    SUN CITY WEST
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    State                |    AZ
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    Zip                  |    85375-4770
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    Country              |    US
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    Telephone            |    623-584-7940
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    Fax                  |    404-949-6488
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Provider Business Mailing Address
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    Address Line         |    16772 W BELL RD # 110-221 
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    City                 |    SURPRISE
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    State                |    AZ
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    Zip                  |    85374-9702
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    Country              |    US
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    Telephone            |    623-584-7940
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    Fax                  |    949-404-6488
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Authorized Official
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    Title or Position    |    OWNER/PRACTITIONER
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    Name                 |     CYNTHIA LEE POPPE 
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    Credential           |    L.AC.
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    Telephone            |    623-584-7940
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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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