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General NPI Number Information
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NPI Number | 1952630774
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Entity Type | Organization
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Legal Business Name | FULL SPECTRUM ENERGY MEDICINE, INC.
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 12/08/2009
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Provider Practice Location Address
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Address Line | 1210 CHERRY LANE
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City | BLUE BELL
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State | PA
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Zip | 19422-1802
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Country | US
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Telephone | 610-275-3371
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Fax | 610-277-0347
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Provider Business Mailing Address
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Address Line | 1210 CHERRY LANE
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City | BLUE BELL
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State | PA
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Zip | 19422-1802
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Country | US
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Telephone | 610-275-3371
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Fax | 610-277-0347
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. VERONICA MARIE SAUTER
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Credential | N.D.
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Telephone | 610-275-3371
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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 | 8000000590
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NAT1000568
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License Number State | DC
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