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General NPI Number Information
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NPI Number | 1851632285
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Entity Type | Organization
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Legal Business Name | NI'S ACUPUNCTURE CENTER
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Dates
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Enumeration Date | 03/11/2013
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 3149 N COURTENAY PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-8309
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Country | US
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Telephone | 321-454-9259
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Fax | 321-454-9974
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Provider Business Mailing Address
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Address Line | 3149 N COURTENAY PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-8309
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JONATHAN LEE
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Credential | AP
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Telephone | 321-454-9259
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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 | 2857
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 3234
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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 | 2809
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License Number State | FL
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