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General NPI Number Information
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NPI Number | 1851424048
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Entity Type | Organization
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Legal Business Name | CENTER FOR ACUPUNCTURE & INTEGRATIVE MEDICINE, LLC
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2050 40TH AVE SUITE 2
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City | VERO BEACH
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State | FL
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Zip | 32960-2467
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Country | US
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Telephone | 772-564-8383
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Fax | 772-564-8377
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Provider Business Mailing Address
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Address Line | 2050 40TH AVE SUITE 2
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City | VERO BEACH
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State | FL
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Zip | 32960-2467
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Country | US
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Telephone | 772-564-8383
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Fax | 772-564-8377
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Authorized Official
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Title or Position | MANAGER MEMBER
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Name | ANGELA L. KING
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Credential | A.P.
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Telephone | 772-564-8383
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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 | AP2284
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License Number State | FL
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