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General NPI Number Information
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NPI Number | 1720385826
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Entity Type | Organization
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Legal Business Name | NATURAL PRIMARY CARE
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Dates
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Enumeration Date | 02/25/2011
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Last Update Date | 10/08/2012
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Provider Practice Location Address
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Address Line | 2250 GULF GATE DR SUITE H
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City | SARASOTA
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State | FL
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Zip | 34231-4838
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Country | US
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Telephone | 941-209-8105
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Fax |
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Provider Business Mailing Address
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Address Line | 8335 GLENROSE WAY UNIT 1513
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City | SARASOTA
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State | FL
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Zip | 34238-5417
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Country | US
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Telephone | 941-924-8429
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. REBECCA M ACOSTA
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Credential | AP, DOM
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Telephone | 941-966-2681
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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 | AP2942
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License Number State | FL
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