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NPI 1982072567

NPI 1982072567 : KREMER ACUPUNCTURE, LLC : TOLEDO, OH

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General NPI Number Information
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    NPI Number           |    1982072567
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    Entity Type          |    Organization 
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    Legal Business Name  |    KREMER ACUPUNCTURE, LLC 
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Dates
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    Enumeration Date     |    09/13/2015
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    Last Update Date     |    09/13/2015
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Provider Practice Location Address
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    Address Line         |    2251 ROBINWOOD AVE 
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    City                 |    TOLEDO
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    State                |    OH
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    Zip                  |    43620-1020
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    Country              |    US
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    Telephone            |    419-902-4967
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2251 ROBINWOOD AVE 
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    City                 |    TOLEDO
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    State                |    OH
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    Zip                  |    43620-1020
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    Country              |    US
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    Telephone            |    419-902-4967
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ACUPUNCTURIST
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    Name                 |     CAROL ANN KREMER 
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    Credential           |    L.AC.
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    Telephone            |    419-902-4967
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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       |    65.000282
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    License Number State |    OH
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