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General NPI Number Information
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NPI Number | 1366835506
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Entity Type | Organization
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Legal Business Name | CHINESE ACUPUNCTURE & NATURAL MEDICINE CENTER
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 3307 CLARK RD STE 102
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City | SARASOTA
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State | FL
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Zip | 34231-8419
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Country | US
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Telephone | 941-957-8258
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Fax |
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Provider Business Mailing Address
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Address Line | 3307 CLARK RD STE 102
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City | SARASOTA
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State | FL
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Zip | 34231-8419
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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
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Name | GUOXIANG ZHU
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Credential |
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Telephone | 941-957-8258
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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 | AP2568
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License Number State | FL
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