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General NPI Number Information
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NPI Number | 1386299493
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Entity Type | Organization
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Legal Business Name | RISE-ABOVE ACUPUNCTURE LLC
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | 9180 FOREST HILL BLVD
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City | WELLINGTON
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State | FL
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Zip | 33411-6564
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Country | US
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Telephone | 561-818-3761
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Fax |
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Provider Business Mailing Address
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Address Line | 3493 LAGO DE TALAVERA
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City | WELLINGTON
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State | FL
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Zip | 33467-1071
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Country | US
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Telephone | 561-818-3761
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURE PHYSICIAN
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Name | MRS. SABINE CLARKE
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Credential | AP, DOM
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Telephone | 561-818-3761
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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 |
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License Number State |
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