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General NPI Number Information
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NPI Number | 1508243171
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Entity Type | Individual
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Provider Name | ATALIE MAYER AP
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Gender | Female
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Dates
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Enumeration Date | 05/02/2015
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 134 5TH AVE STE 102
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City | INDIALANTIC
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State | FL
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Zip | 32903-3133
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Country | US
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Telephone | 321-345-8228
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Fax | 321-574-6788
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Provider Business Mailing Address
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Address Line | 1989 TYLER AVE
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City | MELBOURNE
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State | FL
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Zip | 32935-4061
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Country | US
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Telephone | 321-345-8228
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Fax | 321-574-6788
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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 | AC01564
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License Number State | TX
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