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General NPI Number Information
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NPI Number | 1992234975
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Entity Type | Individual
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Provider Name | LILY HOUSE GACH L.AC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 06/05/2017
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Provider Practice Location Address
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Address Line | 170 OLD NAPLES RD STE A
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-8613
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Country | US
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Telephone | 828-684-2489
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SOUTHWICKE PL
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City | ARDEN
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State | NC
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Zip | 28704-9432
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Country | US
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Telephone | 919-593-3979
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 726
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License Number State | NC
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