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General NPI Number Information
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NPI Number | 1578010112
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Entity Type | Organization
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Legal Business Name | WELLNESS HEALTH ACUPUNCTURE & PHYSICAL THERAPY
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 340 FRANKLIN ST
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City | OCOEE
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State | FL
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Zip | 34761-2644
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Country | US
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Telephone | 407-347-9576
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Fax | 407-347-9598
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Provider Business Mailing Address
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Address Line | 899 CAVAN DR
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City | APOPKA
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State | FL
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Zip | 32703-8344
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Country | US
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Telephone | 407-967-1056
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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 | YVES MICHEL SURIN
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Credential | AP
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Telephone | 407-967-1056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AP3737
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License Number State | FL
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