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General NPI Number Information
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NPI Number | 1578054631
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Entity Type | Organization
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Legal Business Name | HEALING HANDS ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 05/24/2018
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 2225 A1A S STE B1
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32080-7906
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Country | US
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Telephone | 352-682-6206
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Fax |
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Provider Business Mailing Address
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Address Line | 798 GILDA DR
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32086-7604
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Country | US
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Telephone | 352-682-6206
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Fax |
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURE PHYSICIAN
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Name | MS. MICHELE ANNE REHRER
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Credential | AP
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Telephone | 352-682-6206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AP3379
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License Number State | FL
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