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General NPI Number Information
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NPI Number | 1528367679
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Entity Type | Organization
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Legal Business Name | INTUITIVE SCENTS LLC
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 1298 NE 33RD ST APT. A
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4510
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Country | US
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Telephone | 561-702-5168
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Fax |
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Provider Business Mailing Address
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Address Line | 1298 NE 33RD ST APT. A
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4510
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Country | US
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Telephone | 561-702-5168
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURE PHYSICIAN
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Name | MYA D WHITE
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Credential | A.P., L.A.C.
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Telephone | 561-702-5168
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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 | 2907
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License Number State | FL
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