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General NPI Number Information
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NPI Number | 1760623326
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Entity Type | Individual
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Provider Name | MARIFLOR MARCOS-GUILLERMO LAC
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Gender | Female
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 10661 N KENDALL DR SUITE 116
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City | MIAMI
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State | FL
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Zip | 33176-8709
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Country | US
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Telephone | 305-273-9200
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Fax | 305-273-9201
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Provider Business Mailing Address
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Address Line | 10661 N KENDALL DR SUITE 116
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City | MIAMI
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State | FL
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Zip | 33176-8709
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Country | US
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Telephone | 305-273-9200
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Fax | 305-273-9201
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2261
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License Number State | FL
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