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General NPI Number Information
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NPI Number | 1518211796
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Entity Type | Organization
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Legal Business Name | EAST WEST HEALING SOLUTIONS
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 11/09/2012
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Provider Practice Location Address
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Address Line | 34876 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-1918
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Country | US
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Telephone | 727-216-3972
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Fax | 727-216-3982
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Provider Business Mailing Address
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Address Line | 34876 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-1918
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Country | US
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Telephone | 727-216-3972
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Fax | 727-216-3982
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Authorized Official
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Title or Position | OWNER
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Name | MARIE-CLAUDE PAGE-PERKINS
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Credential | DOM/DIPLAC
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Telephone | 727-216-3972
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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 | AP 2048
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License Number State | FL
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