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General NPI Number Information
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NPI Number | 1518381565
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Entity Type | Organization
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Legal Business Name | DORRANCE SEXTON D.O.M., L.AC.
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Dates
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Enumeration Date | 02/11/2014
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 160 SE 6TH AVE SUITE B-2
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5264
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Country | US
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Telephone | 561-325-8612
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Fax |
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Provider Business Mailing Address
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Address Line | 455 NE 5TH AVE SUITE D-175
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5658
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Country | US
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Telephone | 561-891-9159
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF ORIENTAL MEDICINE, LICENS
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Name | MR. DORRANCE SEXTON
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Credential | D.O.M.,L.AC.
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Telephone | 561-325-8612
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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 | 3413
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License Number State | FL
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