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General NPI Number Information
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NPI Number | 1891375424
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE HEALING AT OM
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Dates
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Enumeration Date | 04/08/2021
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 4248 LAKE IN THE WOODS DR
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City | SPRING HILL
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State | FL
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Zip | 34607-2501
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Country | US
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Telephone | 352-254-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 4248 LAKE IN THE WOODS DR
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City | SPRING HILL
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State | FL
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Zip | 34607-2501
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Country | US
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Telephone | 352-600-4242
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | DR. MARIA G SCUNZIANO-SINGH
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Credential | MD
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Telephone | 352-600-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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