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General NPI Number Information
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NPI Number | 1043867583
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Entity Type | Organization
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Legal Business Name | WEST COAST ACUPUNCTURE & INTEGRATIVE WELLNESS
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 1301 10TH ST E STE D
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City | PALMETTO
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State | FL
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Zip | 34221-4161
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Country | US
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Telephone | 941-417-3848
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2034
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City | PALMETTO
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State | FL
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Zip | 34220-2034
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Country | US
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Telephone | 941-417-3848
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURE PHYSICIAN
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Name | DR. REBECCA ANNE WILLIAMS
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Credential | AP
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Telephone | 941-417-3848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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