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General NPI Number Information
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NPI Number | 1952064800
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Entity Type | Organization
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Legal Business Name | 5 ELEMENT ACUPUNCTURE CENTER
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 3681 N. ROBERT ROAD SUITE A
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314
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Country | US
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Telephone | 928-514-9965
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Fax | 928-237-2215
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Provider Business Mailing Address
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Address Line | 7931 E. BELLEVISTA LANE
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86315
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Country | US
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Telephone | 425-306-2926
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Fax |
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Authorized Official
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Title or Position | PRACTITIONER OF ACUPUNCTURE
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Name | DAVID A MITTS
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Credential | L. AC.
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Telephone | 928-514-9965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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