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General NPI Number Information
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NPI Number | 1558631952
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Entity Type | Organization
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Legal Business Name | CARMION POPE PA
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Dates
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Enumeration Date | 01/03/2012
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 1325 S CONGRESS AVE SUITE 207
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-5876
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Country | US
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Telephone | 561-200-4433
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Fax | 561-200-0460
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Provider Business Mailing Address
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Address Line | 1325 S CONGRESS AVE SUITE 207
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-5876
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Country | US
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Telephone | 561-200-4433
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Fax | 561-200-0460
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Authorized Official
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Title or Position | OWNER
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Name | CARMION MARIE POPE
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Credential | A.P
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Telephone | 561-200-4433
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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 | AP2052
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License Number State | FL
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