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Individual
MS. EWA PROKOPIUK
Active
Individual
MS. EWA PROKOPIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC,LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC154
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018331ME
ANTHEM BCBS
ME
Enumeration date
03/05/2007
Last updated
07/08/2007
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