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NPI 1114166030

NPI 1114166030 : HEALTH POINTE JACKSONVILLE, LLC : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1114166030
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH POINTE JACKSONVILLE, LLC 
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Dates
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    Enumeration Date     |    02/17/2009
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    Last Update Date     |    03/24/2009
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Provider Practice Location Address
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    Address Line         |    3840 BELFORT RD 305
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32216-8207
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    Country              |    US
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    Telephone            |    904-448-0046
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    Fax                  |    904-448-0056
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Provider Business Mailing Address
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    Address Line         |    3840 BELFORT RD 305
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32216-8207
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    Country              |    US
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    Telephone            |    904-448-0046
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    Fax                  |    904-448-0056
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JULEE  MILLER 
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    Credential           |    A.P., DOM, LMT
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    Telephone            |    904-448-0046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    173C00000X
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    Taxonomy Name        |    Reflexologist
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    License Number       |    MA52646
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2081N0008X
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    Taxonomy Name        |    Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    MA16887
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    AP2591
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    License Number State |    FL
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