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General NPI Number Information
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NPI Number | 1881135523
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Entity Type | Organization
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Legal Business Name | MY LONG LIFE ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 12357 W DIXIE HWY
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5428
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Country | US
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Telephone | 305-891-2888
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Fax | 954-626-0396
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Provider Business Mailing Address
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Address Line | 12357 W DIXIE HWY
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5428
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Country | US
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Telephone | 305-891-2888
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Fax | 954-626-0396
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | ADRIANO NUNES
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Credential |
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Telephone | 561-628-2130
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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 |
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License Number State |
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