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NPI 1235806746

NPI 1235806746 : DAVID LANGFELDER AP : VENICE, FL

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General NPI Number Information
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    NPI Number           |    1235806746
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID LANGFELDER AP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/24/2021
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    Last Update Date     |    10/04/2023
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Provider Practice Location Address
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    Address Line         |    6090 DIANA RD 
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    City                 |    VENICE
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    State                |    FL
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    Zip                  |    34293-6714
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    Country              |    US
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    Telephone            |    941-999-0610
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6090 DIANA RD 
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    City                 |    VENICE
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    State                |    FL
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    Zip                  |    34293-6714
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    Country              |    US
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    Telephone            |    941-999-0610
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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       |    AP4505
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    MAT16731
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    License Number State |    HI
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Taxonomy #3
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    ACU1345
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    License Number State |    HI
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