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General NPI Number Information
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NPI Number | 1295109601
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Entity Type | Organization
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Legal Business Name | HOLMEDICAL HOLISTIC HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 504 OSCEOLA AVE
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-4030
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Country | US
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Telephone | 904-540-6568
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Fax |
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Provider Business Mailing Address
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Address Line | 695 A1A N UNIT 6
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32082-2760
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | D.O.M, A.P
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Name | ADRIANA POSADA
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Credential |
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Telephone | 904-540-6568
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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 | 3638
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License Number State | FL
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