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General NPI Number Information
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NPI Number | 1093392235
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Entity Type | Organization
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Legal Business Name | IN2 HEALTH, INC.
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 105 S RIVERSIDE DR STE 201
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City | INDIALANTIC
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State | FL
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Zip | 32903-4366
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Country | US
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Telephone | 321-216-5118
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Fax | 321-241-3095
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Provider Business Mailing Address
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Address Line | 4775 QUAIL RUN PL
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City | MELBOURNE
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State | FL
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Zip | 32904-9723
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Country | US
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Telephone | 321-216-5118
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Fax |
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Authorized Official
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Title or Position | VP/SEC./TREAS.
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Name | SARA M DIAZ
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Credential | DACM, AP, C.SMA
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Telephone | 321-216-5118
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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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