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General NPI Number Information
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NPI Number | 1154600153
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Entity Type | Organization
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Legal Business Name | B-ALTERNATIVE
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Dates
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Enumeration Date | 08/08/2011
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 175 SW 7TH ST SUITE 1616
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City | MIAMI
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State | FL
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Zip | 33130-2992
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Country | US
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Telephone | 305-318-2652
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Fax |
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Provider Business Mailing Address
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Address Line | 175 SW 7TH ST SUITE 1616
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City | MIAMI
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State | FL
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Zip | 33130-2992
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Country | US
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Telephone | 305-318-2652
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. CARLY CABEZA
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Credential | LMT
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Telephone | 305-318-2652
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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 | AP 2685
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License Number State | FL
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