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General NPI Number Information
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NPI Number | 1811263858
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Entity Type | Individual
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Provider Name | SU SANDY AUNG AP
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Gender | Female
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 10/10/2014
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Provider Practice Location Address
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Address Line | 2300 GLADES RD SUITE 430W
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City | BOCA RATON
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State | FL
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Zip | 33431-7386
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Country | US
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Telephone | 954-825-3670
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Fax |
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Provider Business Mailing Address
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Address Line | 4808 N STATE ROAD 7 APT 105
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City | CORAL SPRINGS
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State | FL
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Zip | 33073-3352
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Country | US
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Telephone | 646-275-9502
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Fax |
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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 | AP 3087
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License Number State | FL
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