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General NPI Number Information
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NPI Number | 1942582176
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Entity Type | Organization
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Legal Business Name | INTEGRATED MEDICAL ACUPUNCTURE
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 140 CLEMENS RD SUITE 104
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-2010
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Country | US
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Telephone | 610-584-3169
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Fax |
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Provider Business Mailing Address
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Address Line | 140 CLEMENS RD SUITE 104
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-2010
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Country | US
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Telephone | 610-584-3169
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DR. NEILSON MURRAY MATHEWS IV
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Credential | M.D.
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Telephone | 610-584-3169
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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 | PAK000161
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License Number State | PA
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