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General NPI Number Information
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NPI Number | 1942334248
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Entity Type | Organization
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Legal Business Name | CLEARWATER NATURAL MEDICAL CENTER
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2454 N MCMULLEN BOOTH RD STE 609
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City | CLEARWATER
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State | FL
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Zip | 33759-1337
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Country | US
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Telephone | 727-726-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 2454 N MCMULLEN BOOTH RD STE 609
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City | CLEARWATER
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State | FL
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Zip | 33759-1337
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Country | US
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Telephone | 727-726-7333
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Fax |
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | DR. JOHN O NEILL
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Credential | AP
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Telephone | 727-726-7333
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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 | AP0000269
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1655
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License Number State | FL
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