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General NPI Number Information
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NPI Number | 1750569760
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Entity Type | Individual
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Provider Name | ALISSA EGGERT L.AC., LMT
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Gender | Female
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1441 BRICKELL AVE FL 4
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City | MIAMI
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State | FL
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Zip | 33131-3425
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Country | US
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Telephone | 305-676-2789
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Fax |
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Provider Business Mailing Address
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Address Line | 7601 E TREASURE DR APT 1716
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City | NORTH BAY VILLAGE
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State | FL
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Zip | 33141-4366
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Country | US
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Telephone | 206-859-1691
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | MA97728
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP4513
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License Number State | FL
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