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General NPI Number Information
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NPI Number | 1295020030
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Entity Type | Organization
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Legal Business Name | DEERFIELD BEACH INC.
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 811 SE 8TH AVE SUITE 209
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-5644
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Country | US
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Telephone | 954-427-1663
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Fax |
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Provider Business Mailing Address
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Address Line | 811 SE 8TH AVE SUITE 209
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-5644
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Country | US
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Telephone | 954-427-1663
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANALI GARCIA
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Credential | D.O.M., A.P.
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Telephone | 954-427-1663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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