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General NPI Number Information
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NPI Number | 1003306028
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Entity Type | Organization
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Legal Business Name | HOLISTIC HEALING LLC
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 2999 NE 191ST ST STE 406
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City | AVENTURA
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State | FL
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Zip | 33180
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Country | US
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Telephone | 305-949-9828
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Fax | 305-949-1447
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Provider Business Mailing Address
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Address Line | 2999 NE 191ST ST STE 406
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City | AVENTURA
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State | FL
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Zip | 33180-3116
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Country | US
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Telephone | 305-949-9828
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Fax | 305-949-1447
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Authorized Official
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Title or Position | MANAGER MEMBER
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Name | MR. MARCELO MARTINEZ CUERVO
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Credential |
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Telephone | 305-949-9828
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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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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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