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General NPI Number Information
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NPI Number | 1144643362
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Entity Type | Organization
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Legal Business Name | PURE NATURAL MEDICINE, PA
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 01/23/2014
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Provider Practice Location Address
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Address Line | 424 N PARK AVE
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City | APOPKA
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State | FL
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Zip | 32712-4152
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Country | US
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Telephone | 407-682-3632
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Fax |
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Provider Business Mailing Address
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Address Line | 424 N PARK AVE
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City | APOPKA
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State | FL
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Zip | 32712-4152
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Country | US
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Telephone | 407-682-3632
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHEILA LYNN SCOTT
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Credential | AP
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Telephone | 407-682-3632
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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 | AP3095
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License Number State | FL
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