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General NPI Number Information
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NPI Number | 1376987073
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Entity Type | Individual
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Provider Name | KIM ELIZABETH REID A.P
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Gender | Female
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/26/2019
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Provider Practice Location Address
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Address Line | 1003 DALE MABRY HWY
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City | LUTZ
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State | FL
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Zip | 33548-3021
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Country | US
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Telephone | 813-304-3834
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Fax | 813-501-8700
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Provider Business Mailing Address
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Address Line | 1010 LOCH VAIL UNIT 21
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City | APOPKA
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State | FL
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Zip | 32712-2669
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Country | US
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Telephone | 817-681-3924
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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 | AP3149
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License Number State | FL
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