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General NPI Number Information
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NPI Number | 1346574951
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Entity Type | Individual
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Provider Name | ANJANETTE MOJICA D.O.M., L.AC
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Gender | Female
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | 7450 DR PHILLIPS BLVD STE 301
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City | ORLANDO
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State | FL
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Zip | 32819
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Country | US
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Telephone | 407-610-4156
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Fax | 866-466-6953
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Provider Business Mailing Address
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Address Line | 5437 LAKE MARGARET DRIVE STE C
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City | ORLANDO
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State | FL
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Zip | 32812
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Country | US
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Telephone | 407-610-4156
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Fax | 866-466-6953
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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 | 2352
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License Number State | FL
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