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General NPI Number Information
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NPI Number | 1427365782
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Entity Type | Individual
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Provider Name | JOHN KOTSCH M.AC.
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Gender | Male
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 4131 NW 28TH LN STE 3A
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City | GAINESVILLE
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State | FL
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Zip | 32606-6665
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Country | US
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Telephone | 352-278-4760
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Fax |
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Provider Business Mailing Address
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Address Line | 2939 NW 6TH DR
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City | GAINESVILLE
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State | FL
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Zip | 32609-0905
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Country | US
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Telephone | 352-278-4760
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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 | AP 2877
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License Number State | FL
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