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General NPI Number Information
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NPI Number | 1518118595
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Entity Type | Organization
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Legal Business Name | GARDENS WELLNESS
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 3365 BURNS RD SUITE 202
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4326
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Country | US
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Telephone | 561-422-4330
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Fax | 561-422-4332
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Provider Business Mailing Address
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Address Line | 3365 BURNS RD SUITE 202
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33510
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Country | US
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Telephone | 561-422-4330
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Fax | 561-422-4332
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Authorized Official
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Title or Position | ACUPUNCTURE PHYSICIAN
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Name | DR. SU HO
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Credential |
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Telephone | 561-422-4330
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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 | AP2153
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License Number State | FL
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