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General NPI Number Information
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NPI Number | 1952948408
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Entity Type | Organization
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Legal Business Name | HOLISTIC INTERNATIONAL SYSTEMS, LLC
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 01/19/2020
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Provider Practice Location Address
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Address Line | 7510 288TH AVE STE 2
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City | SALEM
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State | WI
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Zip | 53168-9550
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Country | US
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Telephone | 262-221-2756
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Fax |
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Provider Business Mailing Address
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Address Line | 3821 SOUTHWOOD DR APT 216
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City | RACINE
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State | WI
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Zip | 53406-5538
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Country | US
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Telephone | 262-221-2756
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST, OWNER
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Name | MS. RHODA E PILLSBURY
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Credential | LAC, DIPLAC, FEA
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Telephone | 262-221-2756
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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 |
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License Number State |
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