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General NPI Number Information
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NPI Number | 1699135582
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Entity Type | Organization
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Legal Business Name | THE LOCAL HEALING ROOM LLC
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Dates
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Enumeration Date | 03/04/2016
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 24 NE 1ST AVE #105
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City | DANIA BEACH
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State | FL
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Zip | 33004-2865
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Country | US
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Telephone | 954-579-8855
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Fax |
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Provider Business Mailing Address
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Address Line | 214 SW 3RD ST
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City | DANIA BEACH
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State | FL
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Zip | 33004-3955
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Country | US
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Telephone | 954-579-8855
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIN T MURPHY
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Credential | LMT
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Telephone | 954-579-8855
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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 | MA 41240
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License Number State | FL
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