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General NPI Number Information
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NPI Number | 1316262546
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Entity Type | Individual
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Provider Name | ZACK ROE LAPOINTE D.O.M.
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Gender | Female
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | 4001 SWIFT RD FL 2
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City | SARASOTA
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State | FL
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Zip | 34231-6578
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Country | US
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Telephone | 941-924-4400
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Fax | 941-924-4404
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Provider Business Mailing Address
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Address Line | 8010 N PACKWOOD AVE
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City | TAMPA
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State | FL
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Zip | 33604-3815
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Country | US
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Telephone | 813-817-6934
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Fax | 941-924-4404
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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-1852
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License Number State | FL
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