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General NPI Number Information
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NPI Number | 1831511435
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Entity Type | Organization
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Legal Business Name | NORTH PORT ACUPUNCTURE INC
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Dates
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Enumeration Date | 01/16/2014
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 1361 S SUMTER BLVD
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City | NORTH PORT
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State | FL
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Zip | 34287-2339
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Country | US
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Telephone | 941-423-1500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8184
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City | NORTH PORT
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State | FL
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Zip | 34290-8184
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Country | US
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Telephone | 941-423-1500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERICA NABERS
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Credential | AP
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Telephone | 941-423-1500
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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 | 3374
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License Number State | FL
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