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General NPI Number Information
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NPI Number | 1609000157
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE CENTER OF NORTH FLORIDA LLC
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 2653 SW 87TH DR SUITE A
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City | GAINESVILLE
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State | FL
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Zip | 32608-9313
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Country | US
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Telephone | 352-331-4257
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Fax |
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Provider Business Mailing Address
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Address Line | 2725 SW 91ST ST SUITE 110 PMB 81
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City | GAINESVILLE
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State | FL
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Zip | 32608-2781
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAZIA ALI HAMM
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Credential | AP
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Telephone | 352-331-4257
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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 | AP2500
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License Number State | FL
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