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General NPI Number Information
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NPI Number | 1457685646
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE HEALTH THERAPIES, INC
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 09/22/2009
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Provider Practice Location Address
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Address Line | 1201 SHERIDAN RD
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City | CLEARWATER
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State | FL
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Zip | 33755-1430
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Country | US
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Telephone | 727-449-9090
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Fax | 727-449-9090
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Provider Business Mailing Address
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Address Line | 1201 SHERIDAN RD
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City | CLEARWATER
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State | FL
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Zip | 33755-1430
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Country | US
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Telephone | 727-449-9090
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Fax | 727-449-9090
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Authorized Official
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Title or Position | REGISTERED NURSE,ACUPUNCTURIST
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Name | DR. MAYDA ENGRACIA CARRILLO
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Credential | RN,LAP,DOM, NMD
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Telephone | 727-449-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | RN1451192
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License Number State | FL
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