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General NPI Number Information
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NPI Number | 1841634250
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Entity Type | Organization
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Legal Business Name | ACUMEDICALS LLC
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 2500 E HALLANDALE BEACH BLVD SUITE 406
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4834
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Country | US
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Telephone | 954-233-0740
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Fax | 954-272-8013
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Provider Business Mailing Address
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Address Line | 2500 E. HALLANDALE BEACH BLVD. SUITE 406
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City | HALLANDALE
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State | FL
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Zip | 33009
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Country | US
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Telephone | 954-233-0740
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Fax | 954-272-8013
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHLOMI GAVISH
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Credential |
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Telephone | 954-233-0740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH7863
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP3029592
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2710
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License Number State | FL
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