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General NPI Number Information
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NPI Number | 1932433430
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Entity Type | Organization
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Legal Business Name | EAST WIND ACUPUNCTURE, INCORPORATED
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 210 N CALUMET RD
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City | CHESTERTON
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State | IN
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Zip | 46304-2428
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Country | US
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Telephone | 219-395-9928
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Fax | 219-395-1960
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Provider Business Mailing Address
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Address Line | 60 E OAK HILL RD
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City | PORTER
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State | IN
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Zip | 46304-1363
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Country | US
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Telephone | 219-395-9928
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Fax | 219-395-1960
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MR. MARK THOMAS ZARANSKI
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Credential | L. AC., PH. D
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Telephone | 219-395-9928
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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 | 84000086A
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License Number State | IN
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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 | 84000044A
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License Number State | IN
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