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General NPI Number Information
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NPI Number | 1407049158
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Entity Type | Individual
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Provider Name | AKEMI V KORAHAIS DOM
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Gender | Female
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 5127 NW 39TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32606-5943
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Country | US
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Telephone | 352-327-4023
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Fax | 904-592-2905
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Provider Business Mailing Address
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Address Line | 5127 NW 39TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32606-5943
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Country | US
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Telephone | 352-870-4194
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Fax | 904-592-2906
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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 | AP2380
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License Number State | FL
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