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General NPI Number Information
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NPI Number | 1184918526
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND NATURAL MEDICINE LLC
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 710 OAKFIELD DR SUITE 204
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City | BRANDON
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State | FL
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Zip | 33511-4938
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Country | US
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Telephone | 813-407-0147
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 PALM RIVER RD
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City | TAMPA
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State | FL
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Zip | 33619-3829
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Country | US
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Telephone | 813-407-0147
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Fax |
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Authorized Official
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Title or Position | A.P, D.O.M
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Name | AWATIF M HAMMUD
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Credential |
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Telephone | 813-407-0147
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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 | AP2913
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License Number State | FL
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