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General NPI Number Information
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NPI Number | 1760856025
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Entity Type | Organization
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Legal Business Name | MOBILE ACUPUNCTURE INC
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 210 N UNIVERSITY DR STE 209
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7394
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Country | US
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Telephone | 954-721-5543
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Fax |
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Provider Business Mailing Address
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Address Line | 6425 NW 77TH PL
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City | PARKLAND
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State | FL
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Zip | 33067-2430
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Country | US
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Telephone | 786-853-0956
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. REYNA HOWELL
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Credential | DOM
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Telephone | 786-853-0956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA49734
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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 | AP2769
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License Number State | FL
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