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General NPI Number Information
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NPI Number | 1194201665
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE FIRST, INC.
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 3570 SW 136TH CT
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City | MIAMI
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State | FL
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Zip | 33175-7231
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Country | US
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Telephone | 305-450-2124
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Fax |
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Provider Business Mailing Address
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Address Line | 3570 SW 136TH CT
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City | MIAMI
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State | FL
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Zip | 33175-7231
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MERCY GOMEZ
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Credential | L.AC
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Telephone | 305-450-2124
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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 | AP3922
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License Number State | FL
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