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General NPI Number Information
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NPI Number | 1053292631
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Entity Type | Organization
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Legal Business Name | EIR INTEGRATIVE HEALTH LLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 463155 STATE ROAD 200 STE 7
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City | YULEE
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State | FL
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Zip | 32097-5506
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Country | US
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Telephone | 715-252-7390
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Fax |
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Provider Business Mailing Address
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Address Line | 463155 STATE ROAD 200 STE 7
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City | YULEE
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State | FL
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Zip | 32097-5506
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Country | US
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Telephone | 715-252-7390
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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 | CODY MARIE LANE
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Credential | AP
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Telephone | 715-252-7390
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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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