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General NPI Number Information
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NPI Number | 1083224430
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Entity Type | Organization
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Legal Business Name | CLANCY ACUPUNCTURE AND ORIENTAL MEDICINE
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 07/31/2020
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Provider Practice Location Address
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Address Line | 7725 HOLIDAY DR
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City | SARASOTA
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State | FL
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Zip | 34231-5313
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Country | US
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Telephone | 502-710-9088
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Fax |
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Provider Business Mailing Address
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Address Line | 3281 8TH ST
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City | SARASOTA
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State | FL
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Zip | 34237-4705
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Country | US
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Telephone | 502-710-9088
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BENJAMEN CLANCY
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Credential | DAOM, L.AC.
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Telephone | 502-710-9088
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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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