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General NPI Number Information
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NPI Number | 1760967954
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Entity Type | Organization
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Legal Business Name | SUNSHINE ACUPUNCTURE CENTER
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 1811 N BELCHER RD STE H4
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City | CLEARWATER
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State | FL
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Zip | 33765-1433
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Country | US
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Telephone | 727-797-1161
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 N BELCHER RD STE H4
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City | CLEARWATER
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State | FL
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Zip | 33765-1433
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Country | US
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Telephone | 727-797-1161
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. GUANSU WANG
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Credential | AP
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Telephone | 727-797-1161
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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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