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General NPI Number Information
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NPI Number | 1861864969
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Entity Type | Organization
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Legal Business Name | RECOUP LLC
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 1945 NW 4TH AVE APT 40
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City | BOCA RATON
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State | FL
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Zip | 33432-1543
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Country | US
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Telephone | 561-305-2274
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Fax |
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Provider Business Mailing Address
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Address Line | 1945 NW 4TH AVE APT 40
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City | BOCA RATON
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State | FL
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Zip | 33432-1543
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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 | MANAGER
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Name | GARRY NORWOOD
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Credential |
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Telephone | 561-305-2274
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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 | AP2001
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License Number State | FL
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