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General NPI Number Information
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NPI Number | 1801472956
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE APPROACH HOLISTIC MEDICINE
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 217 CRYSTAL GROVE SAME BUILDING AS PEARL INSTITUTE FOR HEADACHE AND NEURO
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City | LUTZ
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State | FL
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Zip | 33548-3361
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Country | US
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Telephone | 239-775-0212
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Fax | 813-435-3002
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Provider Business Mailing Address
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Address Line | 801 ATTACHE CT
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City | TAMPA
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State | FL
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Zip | 33613-2109
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Country | US
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Telephone | 239-775-0212
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Fax | 813-435-3002
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Authorized Official
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Title or Position | OWNER
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Name | DR. BONNIE A. HEIDEL-ARNOLD
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Credential | DOM
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Telephone | 239-775-0212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #9
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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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