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General NPI Number Information
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NPI Number | 1871819821
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND HERB SOLUTIONS
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Dates
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Enumeration Date | 04/15/2010
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 500 N HIATUS RD STE 105
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-5213
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Country | US
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Telephone | 561-843-1644
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Fax |
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Provider Business Mailing Address
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Address Line | 10737 S PRESERVE WAY 208
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City | MIRAMAR
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State | FL
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Zip | 33025-6557
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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 | ACUPUNCTURE PHYSICIAN/ OWNER
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Name | MRS. MONA KHALIL
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Credential | AP
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Telephone | 561-843-1644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AP2754
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License Number State | FL
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