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General NPI Number Information
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NPI Number | 1609267939
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Entity Type | Organization
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Legal Business Name | BYKOTA ACUPUNCTURE
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 10/09/2017
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Provider Practice Location Address
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Address Line | 1007 SOUTH WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32780
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Country | US
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Telephone | 321-474-4573
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Fax | 321-269-7838
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Provider Business Mailing Address
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Address Line | 1007 SOUTH WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32780
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Country | US
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Telephone | 321-474-4573
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Fax | 321-269-7838
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | BEVERLY KAY LYNCH
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Credential | LAC
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Telephone | 321-474-4573
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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 | 27134
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | MED-ACU-LIC-27134
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP3845
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License Number State | FL
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