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General NPI Number Information
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NPI Number | 1235730227
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Entity Type | Organization
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Legal Business Name | ABSOLUTE HEALTH ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 6917 NARCOOSSEE RD STE 734
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City | ORLANDO
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State | FL
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Zip | 32822-7002
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Country | US
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Telephone | 407-801-5510
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Fax | 407-482-6665
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Provider Business Mailing Address
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Address Line | 9423 MYRTLE CREEK LN APT 508
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City | ORLANDO
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State | FL
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Zip | 32832-5978
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Country | US
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Telephone | 972-979-6034
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | CANDACE1 MARIE MONTOYA
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Credential | AP
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Telephone | 972-979-6034
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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 |
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License Number State |
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