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General NPI Number Information
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NPI Number | 1255933404
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Entity Type | Organization
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Legal Business Name | GOLDEN HOUR ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 3722 CONWAY RD
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City | ORLANDO
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State | FL
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Zip | 32812-7608
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Country | US
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Telephone | 407-504-0904
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Fax |
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Provider Business Mailing Address
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Address Line | 3722 CONWAY RD
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City | ORLANDO
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State | FL
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Zip | 32812-7608
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Country | US
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Telephone | 407-308-5001
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | CHERRY KIM
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Credential | MACOM, AP
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Telephone | 407-308-5001
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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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