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General NPI Number Information
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NPI Number | 1356508550
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Entity Type | Organization
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Legal Business Name | PALM ACUPUNCTURE, INC
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 1361 ROYAL PALM SQUARE BLVD UNIT 4
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City | FORT MYERS
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State | FL
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Zip | 33919-1027
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Country | US
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Telephone | 239-939-4299
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Fax |
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Provider Business Mailing Address
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Address Line | 1361 ROYAL PALM SQUARE BLVD UNIT 4
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City | FORT MYERS
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State | FL
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Zip | 33919-1027
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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 | OWNER / PHYSICIAN
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Name | MUHAMAD BARAZI
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Credential | M.D., A.P.
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Telephone | 239-939-4299
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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 | AP2054
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License Number State | FL
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