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General NPI Number Information
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NPI Number | 1558670554
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Entity Type | Individual
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Provider Name | JONATHAN DOLCE DOLLAR L.AC.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2010
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Last Update Date | 09/26/2010
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Provider Practice Location Address
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Address Line | 1015 W LYNN ST
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City | AUSTIN
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State | TX
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Zip | 78703-3948
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Country | US
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Telephone | 512-705-1960
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Fax |
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Provider Business Mailing Address
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Address Line | 10301 RANCH ROAD 2222 APT. 2016
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City | AUSTIN
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State | TX
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Zip | 78730-1200
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Country | US
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Telephone | 318-554-9206
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | TL
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License Number State | TX
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