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General NPI Number Information
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NPI Number | 1346830130
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Entity Type | Organization
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Legal Business Name | NEEDLE ZEN ACUPUNCTURE LLC
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 1975 E SUNRISE BLVD STE 801
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1407
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Country | US
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Telephone | 954-380-2003
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Fax |
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Provider Business Mailing Address
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Address Line | 609 NE 13TH AVE APT 103
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-2837
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Country | US
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Telephone | 954-380-2003
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/ACUPUNCTURIST
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Name | CARLOS A ESCABI
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Credential | LAC
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Telephone | 954-380-2003
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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 |
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License Number State |
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