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General NPI Number Information
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NPI Number | 1003236621
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Entity Type | Individual
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Provider Name | FATEN DAOU
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Gender | Female
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 10/08/2014
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Provider Practice Location Address
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Address Line | 801 MEADOWS RD STE 103
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City | BOCA RATON
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State | FL
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Zip | 33486-2346
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Country | US
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Telephone | 561-245-7464
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Fax | 561-990-7149
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Provider Business Mailing Address
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Address Line | 801 MEADOWS RD STE 103
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City | BOCA RATON
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State | FL
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Zip | 33486-2346
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Country | US
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Telephone | 561-245-7464
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Fax | 561-990-7149
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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 | 005258
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00105300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP3409
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License Number State | FL
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