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General NPI Number Information
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NPI Number | 1275879256
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Entity Type | Organization
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Legal Business Name | FLOWING ZEN STUDIO LLC
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Dates
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Enumeration Date | 12/20/2012
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Last Update Date | 12/20/2012
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Provider Practice Location Address
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Address Line | 5127 NW 39TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32606-5943
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Country | US
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Telephone | 352-327-4023
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Fax | 904-592-2906
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Provider Business Mailing Address
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Address Line | 5127 NW 39TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32606-5943
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Country | US
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Telephone | 352-327-4023
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Fax | 904-592-2906
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Authorized Official
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Title or Position | MANAGING MEMBER, DIRECTOR
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Name | DR. AKEMI KORAHAIS
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Credential | DOM
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Telephone | 352-870-4194
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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 | AP2841
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA69514
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA61263
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2380
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License Number State | FL
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