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General NPI Number Information
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NPI Number | 1376060301
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Entity Type | Organization
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Legal Business Name | HEALING ELEMENTS INTEGRATIVE ACUPUNCTURE LLC
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 305 SE 2CD AVE
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City | GAINESVILLE
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State | FL
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Zip | 32601
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Country | US
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Telephone | 706-840-3235
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Fax |
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Provider Business Mailing Address
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Address Line | 19741 NW 207TH ST
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-9682
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Country | US
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Telephone | 706-840-3235
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST PHYSCIAN
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Name | MS. ERIKA CHASE
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Credential | L.A.P L.AC
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Telephone | 706-840-3235
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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 | 261
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 3646
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License Number State | FL
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