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Individual
SIMEON POLLOCK
Active
Individual
SIMEON POLLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
UO1179
MD
172M00000X
Mechanotherapist
M02382
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FB48S
CAREFIRST BLUE CROSS BLUE SHIELD
MD
01
—
M903
CAREFIRST BLUE CROSS BLUE SHIELD
MD
Enumeration date
01/13/2009
Last updated
01/13/2009
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