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NPI 1073441739

NPI 1073441739 : ANCIENT CITY ACUPUNCTURE AND HERBAL MEDICINE : ST AUGUSTINE, FL

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General NPI Number Information
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    NPI Number           |    1073441739
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANCIENT CITY ACUPUNCTURE AND HERBAL MEDICINE 
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Dates
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    Enumeration Date     |    05/12/2026
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    Last Update Date     |    05/12/2026
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Provider Practice Location Address
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    Address Line         |    4475 US HIGHWAY 1 S STE 203 
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    City                 |    ST AUGUSTINE
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    State                |    FL
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    Zip                  |    32086-3203
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    Country              |    US
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    Telephone            |    904-797-2401
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    Fax                  |    904-679-5328
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Provider Business Mailing Address
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    Address Line         |    4475 US HIGHWAY 1 S STE 203 
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    City                 |    ST AUGUSTINE
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    State                |    FL
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    Zip                  |    32086-3203
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    Country              |    US
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    Telephone            |    904-797-2401
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    Fax                  |    904-679-5328
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. YVONNE CAMILLE TOWSLEY 
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    Credential           |    AP MAOM DACM
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    Telephone            |    904-797-2401
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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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