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General NPI Number Information
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NPI Number | 1699040626
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE@HAERBALSPECIALISTS
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 03/08/2012
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Provider Practice Location Address
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Address Line | 8604 LITTLE RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-4945
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Country | US
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Telephone | 727-505-4574
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Fax | 727-846-8900
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Provider Business Mailing Address
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Address Line | 8604 LITTLE ROAD
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City | NEWPORTRICHEY
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State | FL
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Zip | 34654
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Country | US
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Telephone | 727-505-4574
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Fax | 727-846-8900
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Authorized Official
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Title or Position | ACUPUNCTURE PHYSICIAN
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Name | DR. KIMBERLY HALSEY
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Credential | D.O.M.,AP.
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Telephone | 727-505-4574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AP 2212
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License Number State | FL
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