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General NPI Number Information
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NPI Number | 1679890909
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Entity Type | Organization
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Legal Business Name | ORIENTAL MEDICAL CENTER MAI TAR INC.
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 04/26/2010
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Provider Practice Location Address
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Address Line | 7362 FUTURES DR STE 1
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City | ORLANDO
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State | FL
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Zip | 32819-9086
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Country | US
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Telephone | 407-248-0755
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Fax | 407-248-0756
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Provider Business Mailing Address
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Address Line | 8815 CONROY WINDERMERE RD # 416
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City | ORLANDO
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State | FL
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Zip | 32835-3129
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Country | US
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Telephone | 954-336-0945
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIKI FIGEL
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Credential | O.M.D
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Telephone | 407-248-0755
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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 | AP2740
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License Number State | FL
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