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General NPI Number Information
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NPI Number | 1184119489
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Entity Type | Organization
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Legal Business Name | MARCUS SMITH ACUPUNCTURE INC.
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 2929 N UNIVERSITY DR STE 204
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-1424
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Country | US
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Telephone | 954-907-1036
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Fax | 954-344-7229
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Provider Business Mailing Address
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Address Line | 1440 CORAL RIDGE DR # 379
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-5433
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Country | US
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Telephone | 954-907-1036
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Fax | 954-344-7229
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARCUS SMITH
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Credential | AP
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Telephone | 954-907-1036
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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 | AP1954
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License Number State | FL
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