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General NPI Number Information
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NPI Number | 1073915120
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Entity Type | Organization
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Legal Business Name | ADVANCED ACUPUNCTURE
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 05/06/2016
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Provider Practice Location Address
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Address Line | 5632 BEE RIDGE RD SUITE 101
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City | SARASOTA
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State | FL
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Zip | 34233-1556
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Country | US
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Telephone | 941-378-9902
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Fax | 941-378-9961
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Provider Business Mailing Address
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Address Line | 5632 BEE RIDGE RD SUITE 101
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City | SARASOTA
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State | FL
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Zip | 34233-1556
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Country | US
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Telephone | 941-378-9902
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Fax | 941-378-9961
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Authorized Official
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Title or Position | OWNER
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Name | DR. RACHEL TOOMIM
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Credential | AP
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Telephone | 941-378-9902
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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 | AP240
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License Number State | FL
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