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General NPI Number Information
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NPI Number | 1932332848
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE THERAPY
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | 4631 OGLETOWN STANTON RD
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City | NEWARK
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State | DE
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Zip | 19713-2006
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Country | US
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Telephone | 302-368-0800
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Fax | 302-368-0900
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Provider Business Mailing Address
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Address Line | 4631 OGLETOWN STANTON RD
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City | NEWARK
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State | DE
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Zip | 19713-2006
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Country | US
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Telephone | 302-368-0800
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Fax | 302-368-0900
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL LEWIS
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Credential |
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Telephone | 302-368-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2005206610
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License Number State | DE
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