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General NPI Number Information
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NPI Number | 1356582829
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Entity Type | Organization
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Legal Business Name | JACKSONVILLE ACUHEALTH, INC.
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Dates
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Enumeration Date | 03/13/2009
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 1437 FLAGLER AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8516
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Country | US
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Telephone | 619-200-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 4238 TIMUQUANA RD
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City | JACKSONVILLE
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State | FL
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Zip | 32210-8542
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Country | US
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Telephone | 619-200-4327
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Fax |
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Authorized Official
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Title or Position | ACUPUNTURE PHYSICIAN
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Name | DR. SANDRA TEACHEY
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Credential | A.P.
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Telephone | 619-200-4327
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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 | AP2635
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License Number State | FL
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