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General NPI Number Information
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NPI Number | 1891730206
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Entity Type | Organization
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Legal Business Name | ORIENTAL MEDICAL CLINIC OF FLORIDA
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 06/29/2011
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Provider Practice Location Address
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Address Line | 3101 MEDICAL WAY SUITE 2
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City | SEBRING
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State | FL
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Zip | 33870-5548
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Country | US
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Telephone | 863-386-5050
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Fax | 863-402-1090
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Provider Business Mailing Address
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Address Line | 3101 MEDICAL WAY SUITE 2
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City | SEBRING
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State | FL
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Zip | 33870-5548
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Country | US
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Telephone | 863-386-5050
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Fax | 863-402-1090
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Authorized Official
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Title or Position | OWNER
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Name | JEANIE O LEE
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Credential | D.A.O.M.
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Telephone | 863-386-5050
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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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