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General NPI Number Information
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NPI Number | 1982482527
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE SPECIALISTS & WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 175 NATE WHIPPLE HWY STE 205
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City | CUMBERLAND
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State | RI
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Zip | 02864-1425
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Country | US
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Telephone | 860-460-9074
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Fax |
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Provider Business Mailing Address
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Address Line | 32 LORRAINE METCALF RD
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City | FRANKLIN
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State | MA
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Zip | 02038-3234
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GLORIA LEE
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Credential | DA
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Telephone | 860-460-9074
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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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