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NPI 1649421215

NPI 1649421215 : DONNA MENEZES-ENOS ACUPUNCTURIST : SPRING HILL, FL

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General NPI Number Information
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    NPI Number           |    1649421215
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    Entity Type          |    Individual 
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    Provider Name        |    DONNA MENEZES-ENOS ACUPUNCTURIST
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/01/2008
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    Last Update Date     |    09/14/2018
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Provider Practice Location Address
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    Address Line         |    11079 SPRING HILL DR 
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    City                 |    SPRING HILL
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    State                |    FL
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    Zip                  |    34608-5000
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    Country              |    US
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    Telephone            |    352-683-9499
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10417 SPRING HILL DR 
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    City                 |    SPRING HILL
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    State                |    FL
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    Zip                  |    34608-5043
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    Country              |    US
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    Telephone            |    352-515-6121
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    Fax                  |    352-515-6769
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    AP3829
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    License Number State |    FL
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