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General NPI Number Information
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NPI Number | 1396067104
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Entity Type | Organization
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Legal Business Name | MERIDIAN ACUPUNCTURE CENTER OF FLORIDA, P.A.
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Dates
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Enumeration Date | 02/20/2010
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 36472 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-1330
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Country | US
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Telephone | 727-781-6747
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Fax | 727-772-9612
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Provider Business Mailing Address
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Address Line | 5012 KILKENNEY WAY
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City | OLDSMAR
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State | FL
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Zip | 34677-5104
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Country | US
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Telephone | 727-771-1801
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Fax | 727-772-9612
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID J SASSANO
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Credential | D.O.
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Telephone | 727-781-6747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | OS5374
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License Number State | FL
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