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General NPI Number Information
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NPI Number | 1881982676
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Entity Type | Organization
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Legal Business Name | ACUHEALING MEDICAL CENTER
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 07/14/2011
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Provider Practice Location Address
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Address Line | 13601 SW 77TH AVE
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City | PALMETTO BAY
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State | FL
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Zip | 33158-1101
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Country | US
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Telephone | 786-449-9026
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Fax |
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Provider Business Mailing Address
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Address Line | 13601 SW 77TH AVE
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City | PALMETTO BAY
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State | FL
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Zip | 33158-1101
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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 | PH.D.
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Name | CUI HAN
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Credential |
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Telephone | 786-449-9026
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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 | AP2314
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License Number State | FL
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