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General NPI Number Information
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NPI Number | 1255638011
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Entity Type | Organization
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Legal Business Name | HEALTHY HEALING ACUPUNCTURE AND HERBAL CENTER LLC
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 1395 N COURTENAY PKWY STE 202
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4475
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Country | US
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Telephone | 321-252-3720
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Fax | 321-252-3752
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Provider Business Mailing Address
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Address Line | 1395 N COURTENAY PKWY STE 202
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4475
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Country | US
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Telephone | 321-252-3720
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Fax | 321-252-3752
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DIANNE SAID
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Credential | LAC
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Telephone | 321-252-3720
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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 | AP2871
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License Number State | FL
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