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General NPI Number Information
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NPI Number | 1174892871
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Entity Type | Organization
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Legal Business Name | EAST WEST HEALTH PARTNERS, INC
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Dates
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Enumeration Date | 12/26/2011
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Last Update Date | 12/26/2011
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Provider Practice Location Address
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Address Line | 9050 58TH DR E SUITE A101
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City | BRADENTON
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State | FL
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Zip | 34202-6104
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Country | US
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Telephone | 941-752-4838
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Fax | 941-752-4312
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Provider Business Mailing Address
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Address Line | 9050 58TH DR E SUITE A101
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City | BRADENTON
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State | FL
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Zip | 34202-6104
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Country | US
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Telephone | 941-752-4838
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Fax | 941-752-4312
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHELE LOUISELLE
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Credential | DOM, AP, L.AC
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Telephone | 941-752-4838
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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 | AP2629
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License Number State | FL
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