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General NPI Number Information
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NPI Number | 1124773734
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Entity Type | Individual
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Provider Name | ABBEY JO SHULKIN L.AC.
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Gender | Female
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 7035 BERACASA WAY STE 104
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City | BOCA RATON
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State | FL
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Zip | 33433-3454
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Country | US
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Telephone | 561-843-6604
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Fax |
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Provider Business Mailing Address
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Address Line | 5501 NW 2ND AVE APT 209
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City | BOCA RATON
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State | FL
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Zip | 33487-3855
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Country | US
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Telephone | 786-368-0076
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4319
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License Number State | FL
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