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General NPI Number Information
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NPI Number | 1639621550
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Entity Type | Organization
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Legal Business Name | FIVE POINTS ACUPUNCTURE SPA
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 3101 N 12TH AVE SUITE 102
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City | PENSACOLA
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State | FL
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Zip | 32503-4006
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Country | US
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Telephone | 850-637-1548
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 N 12TH AVE SUITE 102
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City | PENSACOLA
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State | FL
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Zip | 32503-4006
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Country | US
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Telephone | 850-637-1548
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIN TALIAFERRO
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Credential | AP
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Telephone | 850-637-1548
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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 | 2488
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License Number State | FL
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