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General NPI Number Information
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NPI Number | 1740843630
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE CLERMONT
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 450 E HWY 50 STE 8A
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City | CLERMONT
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State | FL
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Zip | 34711-2581
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Country | US
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Telephone | 321-370-4251
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Fax | 352-608-9344
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Provider Business Mailing Address
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Address Line | 450 E HWY 50 STE 8A
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City | CLERMONT
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State | FL
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Zip | 34711-2581
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Country | US
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Telephone | 321-370-4251
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Fax | 352-608-9344
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Authorized Official
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Title or Position | DIRECTOR/ACUPUNCTURIST
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Name | ANDREW LAWRENCE WALSH
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Credential | AP
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Telephone | 321-370-4251
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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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