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General NPI Number Information
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NPI Number | 1912761057
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Entity Type | Organization
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Legal Business Name | ACUVITALS
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 9999 NE 2ND AVE STE 313
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2346
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Country | US
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Telephone | 305-771-2115
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Fax |
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Provider Business Mailing Address
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Address Line | 11530 SW 6TH ST
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City | MIAMI
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State | FL
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Zip | 33174-3702
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Country | US
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Telephone | 130-597-5155
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURE PHYSICIAN
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Name | MRS. MARIA JOSE BALLADARES
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Credential | LAC, AP, MT
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Telephone | 305-975-1554
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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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