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General NPI Number Information
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NPI Number | 1154838449
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Entity Type | Organization
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Legal Business Name | HEALING HERBS INC
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 3402 GRIFFIN RD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-5564
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Country | US
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Telephone | 954-237-1358
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Fax |
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Provider Business Mailing Address
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Address Line | 3560 SW 48TH CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-8255
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Country | US
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Telephone | 954-591-8672
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Fax |
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Authorized Official
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Title or Position | P
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Name | DAVID L BOTTON
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Credential | AP
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Telephone | 954-591-8672
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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 |
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License Number State |
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