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General NPI Number Information
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NPI Number | 1144487752
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Entity Type | Organization
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Legal Business Name | NATURE WELLNESS
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 839 NW 80TH TER
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City | PLANTATION
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State | FL
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Zip | 33324-1226
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Country | US
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Telephone | 954-245-1108
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Fax |
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Provider Business Mailing Address
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Address Line | 839 NW 80TH TER
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City | PLANTATION
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State | FL
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Zip | 33324-1226
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Country | US
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Telephone | 954-245-1108
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Fax |
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Authorized Official
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Title or Position | ACUPUNTURIST PHYSICIAN
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Name | MARILYN ARACENA
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Credential | PA
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Telephone | 954-245-1108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | AP2459
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License Number State | FL
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