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General NPI Number Information
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NPI Number | 1447030671
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Entity Type | Organization
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Legal Business Name | HANDS FOR HEALING WITH NEEDLES OF LIGHT , INC.
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 8813 DR MARTIN LUTHER KING JR ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33702-3443
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Country | US
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Telephone | 727-823-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 7201 DR MARTIN LUTHER KING JR ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-5821
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Country | US
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Telephone | 727-823-9000
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTIONER
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Name | DR. JEFFREY EDWARD MCCONNELL
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Credential | AP, MA
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Telephone | 727-882-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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