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NPI 1417375668

NPI 1417375668 : DR D ORGANICS : JUPITER, FL

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General NPI Number Information
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    NPI Number           |    1417375668
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR D ORGANICS 
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Dates
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    Enumeration Date     |    04/04/2014
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    Last Update Date     |    03/18/2023
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Provider Practice Location Address
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    Address Line         |    2151 S ALT A1A STE 1400 
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    City                 |    JUPITER
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    State                |    FL
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    Zip                  |    33477-3901
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    Country              |    US
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    Telephone            |    561-467-0288
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    Fax                  |    800-455-1412
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Provider Business Mailing Address
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    Address Line         |    2151 S ALT A1A STE 1400 
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    City                 |    JUPITER
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    State                |    FL
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    Zip                  |    33477-3901
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    Country              |    US
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    Telephone            |    561-467-0288
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/ACUPUNCTURIST, HERBALIST
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    Name                 |    DR. SHERI DENISE JACOBS 
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    Credential           |    D.A.C.M.
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    Telephone            |    561-467-0288
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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       |    AP3384
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    License Number State |    FL
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