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General NPI Number Information
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NPI Number | 1376687376
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Entity Type | Individual
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Provider Name | MALGORZATA SROKA A P
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19 W FLAGLER ST STE 906
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City | MIAMI
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State | FL
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Zip | 33130-4407
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Country | US
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Telephone | 305-375-0105
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Fax |
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Provider Business Mailing Address
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Address Line | 8301 SW 124TH AVE APT 104
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City | MIAMI
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State | FL
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Zip | 33183-4606
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Country | US
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Telephone | 305-412-1041
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AP 1409
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License Number State | FL
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