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General NPI Number Information
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NPI Number | 1841447943
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Entity Type | Organization
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Legal Business Name | MAHIMA ACUPUNCTURE & AYURVEDA WELLNESS CENTER.
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 10651 SW 88TH ST STE 201
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City | MIAMI
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State | FL
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Zip | 33176-1545
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Country | US
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Telephone | 305-596-0858
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Fax |
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Provider Business Mailing Address
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Address Line | 10651 SW 88TH ST STE 201
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City | MIAMI
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State | FL
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Zip | 33176-1545
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Country | US
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Telephone | 305-596-0858
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ZIDE MOONI
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Credential | OMD, AP. BAMS
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Telephone | 305-596-0858
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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 |
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License Number State |
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