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General NPI Number Information
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NPI Number | 1114786928
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Entity Type | Organization
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Legal Business Name | BROCK INTEGRATIVE HEALTH INC
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Dates
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Enumeration Date | 03/14/2024
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 11270 82ND ST E
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City | PARRISH
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State | FL
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Zip | 34219-2705
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Country | US
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Telephone | 941-504-8983
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Fax |
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Provider Business Mailing Address
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Address Line | 11270 82ND ST E
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City | PARRISH
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State | FL
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Zip | 34219-2705
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Country | US
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Telephone | 941-504-8983
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. MELI N BROCK
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Credential | AP, DOM, LMT
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Telephone | 941-504-8983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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