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General NPI Number Information
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NPI Number | 1821335225
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Entity Type | Organization
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Legal Business Name | FAMILY ACUPUNCTURE
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 5155 CORPORATE WAY STE F
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City | JUPITER
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State | FL
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Zip | 33458-4359
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Country | US
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Telephone | 561-459-0528
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Fax |
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Provider Business Mailing Address
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Address Line | 1968 OCALA RD
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-2618
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Country | US
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Telephone | 561-459-0528
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Fax |
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Authorized Official
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Title or Position | ACUPUNTURIST
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Name | JIHAN COOK
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Credential |
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Telephone | 561-459-0528
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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 | AP2396
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License Number State | FL
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