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General NPI Number Information
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NPI Number | 1912477951
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE WELLNESS THERAPY INC
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Dates
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Enumeration Date | 12/03/2018
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Last Update Date | 12/03/2018
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Provider Practice Location Address
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Address Line | 111 GRAND PALMS DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1329
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Country | US
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Telephone | 786-462-4325
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Fax |
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Provider Business Mailing Address
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Address Line | 2141 NW 185TH WAY
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3866
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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 | PRESIDENT
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Name | GISELE ANNE LEON-RITCH
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Credential | AP
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Telephone | 786-462-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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