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General NPI Number Information
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NPI Number | 1487782678
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Entity Type | Individual
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Provider Name | CHRISTINA CAPTAIN A.P.,D.O.M
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 1219 S EAST AVE SUITE 104
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City | SARASOTA
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State | FL
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Zip | 34239-2340
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Country | US
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Telephone | 941-951-1119
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Fax | 941-951-1129
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Provider Business Mailing Address
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Address Line | 1219 S EAST AVE SUITE 104
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City | SARASOTA
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State | FL
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Zip | 34239-2340
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Country | US
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Telephone | 941-951-1119
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Fax | 941-951-1129
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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 | AP1443
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License Number State | FL
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