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General NPI Number Information
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NPI Number | 1528019312
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Entity Type | Organization
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Legal Business Name | DOWNTOWN ORIENTAL MEDICINE GROUP
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 19 W FLAGLER ST SUITE 906
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City | MIAMI
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State | FL
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Zip | 33130-4400
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Country | US
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Telephone | 305-375-0105
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 441246
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City | MIAMI
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State | FL
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Zip | 33144-1246
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Country | US
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Telephone | 305-375-0105
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Fax |
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | VIVIAN MARQUEZ
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Credential | AP
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Telephone | 305-375-0105
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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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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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