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General NPI Number Information
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NPI Number | 1679748172
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE & HOLISTIC HEALTH CENTER
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 6967 E FOWLER AVE
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City | TAMPA
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State | FL
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Zip | 33617-1714
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Country | US
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Telephone | 813-989-9771
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Fax |
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Provider Business Mailing Address
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Address Line | 12209 WOOD DUCK PL
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City | TAMPA
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State | FL
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Zip | 33617-1300
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Country | US
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Telephone | 813-841-1515
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Fax |
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Authorized Official
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Title or Position | PRES./OWNER ACUPUNCTURE PHYSICIAN
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Name | MS. SHARON L HODGSON
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Credential | A.P.
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Telephone | 813-841-1515
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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 | AP000977
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License Number State | FL
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