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General NPI Number Information
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NPI Number | 1265701478
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Entity Type | Organization
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Legal Business Name | DAVID NEVINS ACUPUNCTURE, INC
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Dates
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Enumeration Date | 12/16/2011
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Last Update Date | 12/16/2011
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Provider Practice Location Address
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Address Line | 17027 W DIXIE HWY STE 108
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-3715
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Country | US
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Telephone | 305-725-1152
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Fax | 305-940-7949
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Provider Business Mailing Address
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Address Line | 19212 NE 25TH AVE APT 282
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City | MIAMI
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State | FL
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Zip | 33180-3218
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Country | US
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Telephone | 305-725-1152
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Fax | 305-940-7249
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Authorized Official
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Title or Position | OWNER ACUPUNCTURIST
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Name | MR. DAVID NEVINS
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Credential | ACUPUNCTURIST
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Telephone | 305-725-1152
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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 | AP 1529
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License Number State | FL
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