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General NPI Number Information
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NPI Number | 1447522610
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Entity Type | Organization
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Legal Business Name | RELIEF ACUPUNCTURE, P.A.
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 12184 SW 128TH ST
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City | MIAMI
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State | FL
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Zip | 33186-5230
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Country | US
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Telephone | 305-807-0885
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Fax |
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Provider Business Mailing Address
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Address Line | 9150 FONTAINEBLEAU BLVD 109
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City | MIAMI
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State | FL
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Zip | 33172-4380
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Country | US
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Telephone | 305-807-0885
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBINSON GAVIRIA
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Credential | A.P., D.O.M.
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Telephone | 305-807-0885
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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 | AP3033
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License Number State | FL
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