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General NPI Number Information
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NPI Number | 1215200878
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Entity Type | Organization
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Legal Business Name | GT SPIRITUAL ENTERPRISES, INC.
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 25 SOUTH OSPREY AVENUE
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City | SARASOTA
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State | FL
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Zip | 34236
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Country | US
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Telephone | 941-556-9174
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Fax | 941-556-9175
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Provider Business Mailing Address
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Address Line | 25 SOUTH OSPREY AVENUE
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City | SARASOTA
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State | FL
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Zip | 34236
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Country | US
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Telephone | 941-556-9174
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Fax | 941-556-9175
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | GENEVIEVE JEAN TOMLINSON
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Credential | DOM, AP
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Telephone | 941-556-9174
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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 | AP2694
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License Number State | FL
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