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General NPI Number Information
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NPI Number | 1255747747
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Entity Type | Organization
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Legal Business Name | EAST WIND THERAPIES, INC.
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 1954 HOWELL BRANCH RD SUITE 112
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City | WINTER PARK
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State | FL
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Zip | 32792-1041
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Country | US
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Telephone | 407-677-9993
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Fax | 407-677-9902
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Provider Business Mailing Address
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Address Line | 1954 HOWELL BRANCH RD SUITE 112
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City | WINTER PARK
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State | FL
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Zip | 32792-1041
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Country | US
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Telephone | 407-677-9993
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Fax | 407-677-9902
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Authorized Official
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Title or Position | ACUPUNCTURIST/OWNER
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Name | MS. HEIDI DIANA REGIER
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Credential | AP
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Telephone | 407-677-9993
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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 | AP553
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License Number State | FL
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