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General NPI Number Information
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NPI Number | 1730998915
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Entity Type | Organization
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Legal Business Name | GAN EDEN HOLISTIC HEALTH LLC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 960 W 41ST ST STE 208
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3349
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Country | US
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Telephone | 850-470-1312
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Fax |
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Provider Business Mailing Address
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Address Line | 1532 SW 23RD ST
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City | MIAMI
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State | FL
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Zip | 33145-3951
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AP
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Name | SOFIA CUETO
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Credential |
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Telephone | 850-470-1312
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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 |
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License Number State |
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