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General NPI Number Information
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NPI Number | 1366833568
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND ALTERNATIVE MEDICINE CLINIC
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 13310 SW 128TH ST
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City | MIAMI
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State | FL
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Zip | 33186-5899
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Country | US
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Telephone | 305-775-7312
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Fax |
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Provider Business Mailing Address
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Address Line | 925 SW 153RD PATH
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City | MIAMI
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State | FL
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Zip | 33194-2727
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Country | US
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Telephone | 305-775-7312
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. YOSEPH D FELEKE
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Credential |
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Telephone | 305-775-7312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | AP3125
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License Number State | FL
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