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General NPI Number Information
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NPI Number | 1497334254
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Entity Type | Organization
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Legal Business Name | AIKI WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 623 39TH ST W STE 1
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City | BRADENTON
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State | FL
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Zip | 34205-2457
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Country | US
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Telephone | 941-713-5136
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Fax |
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Provider Business Mailing Address
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Address Line | 5906 7TH AVENUE DR W
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City | BRADENTON
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State | FL
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Zip | 34209-3502
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER KASTNER
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Credential | DOM, AP
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Telephone | 941-713-5136
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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 |
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License Number State |
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