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General NPI Number Information
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NPI Number | 1427432400
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Entity Type | Organization
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Legal Business Name | NATURAL MEDICINE
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Dates
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Enumeration Date | 07/19/2015
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Last Update Date | 07/19/2015
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Provider Practice Location Address
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Address Line | 717 SE 2ND ST SUITE 203
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-3639
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Country | US
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Telephone | 954-525-4878
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Fax |
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Provider Business Mailing Address
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Address Line | 1229 NE 17TH WAY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-2433
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Country | US
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Telephone | 954-525-4878
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT GREIG
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Credential | DOM
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Telephone | 954-525-4878
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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 | AP1021
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License Number State | FL
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