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General NPI Number Information
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NPI Number | 1013067024
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Entity Type | Individual
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Provider Name | ALMA VANESSA GOLDSTEIN L.AC., A.P.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 1430 SW SAINT LUCIE WEST BLVD STE 103
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-2134
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Country | US
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Telephone | 772-398-5400
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Fax | 772-446-4651
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Provider Business Mailing Address
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Address Line | 1430 SW SAINT LUCIE WEST BLVD STE 103
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-2134
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Country | US
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Telephone | 772-398-5400
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Fax | 772-446-4651
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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 | 2064
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License Number State | FL
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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 | 00787
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License Number State | NY
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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 | AP2064
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License Number State | FL
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