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General NPI Number Information
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NPI Number | 1568669372
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Entity Type | Organization
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Legal Business Name | MALHOTRA ACUPUNCTURE CENTRE, INC.
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2700 S TAMIAMI TRL SUITE 3
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City | SARASOTA
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State | FL
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Zip | 34239-4530
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Country | US
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Telephone | 941-780-7738
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 S TAMIAMI TRL SUITE 3
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City | SARASOTA
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State | FL
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Zip | 34239-4530
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Country | US
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Telephone | 941-780-7738
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TARA MALHOTRA
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Credential | AP
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Telephone | 941-780-7738
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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 | AP1740
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License Number State | FL
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