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General NPI Number Information
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NPI Number | 1912223561
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE HEALTH PLLC
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 04/07/2010
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Provider Practice Location Address
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Address Line | 2658 MAGUIRE RD
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City | OCOEE
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State | FL
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Zip | 34761-4752
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Country | US
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Telephone | 407-493-6873
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Fax |
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Provider Business Mailing Address
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Address Line | 511 PINEAPPLE CT
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City | ORLANDO
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State | FL
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Zip | 32835-5309
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Country | US
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Telephone | 407-493-6873
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURE PHYSICIAN/MANAGING MBR
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Name | DR. ASHLEY S BOYER
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Credential | DOM, AP
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Telephone | 407-493-6873
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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 | AP2792
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License Number State | FL
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