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General NPI Number Information
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NPI Number | 1073975553
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Entity Type | Organization
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Legal Business Name | FOUR SEASONS ACUPOUNCTURE TREATNMENTS
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 185 N LAKEMONT AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-3203
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Country | US
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Telephone | 321-662-4871
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Fax |
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Provider Business Mailing Address
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Address Line | 185 N LAKEMONT AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-3203
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Country | US
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Telephone | 321-662-4871
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Fax |
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Authorized Official
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Title or Position | DIPLOMAT OF ORIENTLA MEDICINE
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Name | DR. MARLO ANN RAPP
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Credential | AP, DOM
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Telephone | 321-662-4871
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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 | AP2715
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License Number State | FL
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