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General NPI Number Information
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NPI Number | 1578043550
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Entity Type | Organization
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Legal Business Name | BIOKINESIS
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Dates
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Enumeration Date | 08/18/2018
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Last Update Date | 08/18/2018
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Provider Practice Location Address
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Address Line | 237 LOOKOUT PL
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City | MAITLAND
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State | FL
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Zip | 32751-8433
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Country | US
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Telephone | 407-412-2029
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Fax |
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Provider Business Mailing Address
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Address Line | 341 SPRINGVIEW DR
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City | SANFORD
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State | FL
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Zip | 32773-5996
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Country | US
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Telephone | 407-272-0443
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRICEIDA VEGA CASTILLO
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Credential |
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Telephone | 407-272-0443
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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 |
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License Number State |
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