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General NPI Number Information
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NPI Number | 1689943797
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Entity Type | Organization
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Legal Business Name | CORAL GABLES ACUPUNCTURE AND HERBAL MEDICINE
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 2645 S DOUGLAS RD SUITE # 501
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City | MIAMI
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State | FL
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Zip | 33133-2754
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Country | US
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Telephone | 305-446-3009
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Fax | 305-446-3014
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Provider Business Mailing Address
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Address Line | 2645 S DOUGLAS RD SUITE # 501
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City | MIAMI
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State | FL
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Zip | 33133-2754
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Country | US
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Telephone | 305-446-3009
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Fax | 305-446-3014
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DONNA C VAZQUEZ
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Credential |
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Telephone | 305-446-3009
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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 | AP785
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License Number State | FL
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