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General NPI Number Information
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NPI Number | 1083954697
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE HEALTH
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Dates
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Enumeration Date | 02/19/2013
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 3122 E COMMERCIAL BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4327
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Country | US
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Telephone | 954-801-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 1298 NW 89TH DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6605
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Country | US
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Telephone | 954-801-0220
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | JARRETT KAGAN
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Credential | A.P.
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Telephone | 954-801-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | AP2630
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License Number State | FL
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