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General NPI Number Information
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NPI Number | 1962767194
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Entity Type | Organization
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Legal Business Name | CRISTI DEMARCO ACUPUNCTURE
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 193 FRONT ST SUITE 2
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City | FARMINGTON
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State | ME
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Zip | 04938-5834
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Country | US
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Telephone | 207-778-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 193 FRONT ST SUITE 2
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City | FARMINGTON
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State | ME
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Zip | 04938-5834
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Country | US
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Telephone | 207-778-9700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CRISTI CANALI DEMARCO
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Credential | L.AC.
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Telephone | 207-778-9700
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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 | AC321
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License Number State | ME
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