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General NPI Number Information
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NPI Number | 1235057597
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Entity Type | Individual
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Provider Name | NINA MAILLIARD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 10743 NARCOOSSEE RD STE A12
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City | ORLANDO
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State | FL
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Zip | 32832-6946
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Country | US
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Telephone | 407-501-8488
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 UMBRIA LN
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City | SAINT CLOUD
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State | FL
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Zip | 34771-7960
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Country | US
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Telephone | 407-501-8488
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AP4707
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License Number State | FL
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