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General NPI Number Information
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NPI Number | 1790195691
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Entity Type | Organization
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Legal Business Name | HEALING ARTS CENTER
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 971 MICHIGAN AVE
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City | NAPLES
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State | FL
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Zip | 34103-8803
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Country | US
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Telephone | 239-262-6828
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Fax | 239-649-4915
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Provider Business Mailing Address
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Address Line | 971 MICHIGAN AVE
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City | NAPLES
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State | FL
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Zip | 34103-8803
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Country | US
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Telephone | 239-262-6828
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Fax | 239-649-4915
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. JOHN EDAWRD PATTON
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Credential | A.P., LMHC
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Telephone | 239-262-6828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | MH2616
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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 | AP488
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License Number State | FL
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