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General NPI Number Information
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NPI Number | 1700313194
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Entity Type | Organization
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Legal Business Name | LEAFLINE ACUPUNCTURE & HERBS
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Dates
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Enumeration Date | 05/16/2017
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Last Update Date | 05/16/2017
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Provider Practice Location Address
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Address Line | 6971 N FEDERAL HWY STE 205
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City | BOCA RATON
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State | FL
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Zip | 33487-1648
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Country | US
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Telephone | 914-393-0105
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Fax | 914-393-0105
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Provider Business Mailing Address
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Address Line | 15109 ASHLAND DR APT I329
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City | DELRAY BEACH
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State | FL
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Zip | 33484-4434
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Country | US
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Telephone | 914-393-0105
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Fax |
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Authorized Official
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Title or Position | FOUNDER & ACUPUNCTURIST
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Name | DONNA HARPAZ
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Credential | LAC
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Telephone | 914-393-0105
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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 | AP3681
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License Number State | FL
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