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General NPI Number Information
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NPI Number | 1033440854
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Entity Type | Organization
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Legal Business Name | GALVAN ACUPUNCTURE AND HERBAL MEDICINE LLC
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Dates
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Enumeration Date | 01/18/2010
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Last Update Date | 01/18/2010
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Provider Practice Location Address
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Address Line | 5201 SW 91ST DR STE A
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City | GAINESVILLE
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State | FL
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Zip | 32608-3019
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Country | US
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Telephone | 352-327-3561
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 SW 91ST DR STE A
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City | GAINESVILLE
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State | FL
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Zip | 32608-3019
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Country | US
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Telephone | 352-327-3561
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. AMY M GALVAN
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Credential | AP
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Telephone | 352-327-3561
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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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