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General NPI Number Information
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NPI Number | 1659207934
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Entity Type | Organization
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Legal Business Name | GREEN MERIDIAN INTEGRATIVE WELLNESS CENTER
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 4300 S HWY 27 STE 205F
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City | CLERMONT
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State | FL
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Zip | 34711-8067
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Country | US
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Telephone | 352-809-8709
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Fax |
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Provider Business Mailing Address
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Address Line | 6433 QUARTET ST
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City | MASCOTTE
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State | FL
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Zip | 34753-9319
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Country | US
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Telephone | 352-809-8709
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURE PHYSICIAN
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Name | DR. KHANHMEI WONG
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Credential | L.AC
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Telephone | 352-809-8709
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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 |
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License Number State |
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