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General NPI Number Information
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NPI Number | 1700023652
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Entity Type | Organization
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Legal Business Name | LOTUS ACUPUNCTURE AND WELLNESS CENTER, INC.
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 1515 N UNIVERSITY DR SUITE 208
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6096
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Country | US
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Telephone | 954-341-9696
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Fax |
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Provider Business Mailing Address
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Address Line | 1521 ALTON RD SUITE 186
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City | MIAMI BEACH
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State | FL
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Zip | 33139-3301
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Country | US
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Telephone | 786-422-4434
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD TAYLOR
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Credential |
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Telephone | 786-422-4434
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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 | AP2600
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License Number State | FL
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