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General NPI Number Information
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NPI Number | 1952063208
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Entity Type | Organization
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Legal Business Name | BIRCH TREE ACUPUNCTURE AND WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 3385 MAGIC OAK LN
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City | SARASOTA
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State | FL
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Zip | 34232-1821
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Country | US
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Telephone | 941-307-7227
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Fax | 941-919-2775
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Provider Business Mailing Address
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Address Line | 14831 SKIP JACK LOOP
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5878
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Country | US
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Telephone | 941-307-7227
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Fax | 941-919-2775
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ANITA HARMAT
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Credential | AP, DOM
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Telephone | 941-307-7227
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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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