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General NPI Number Information
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NPI Number | 1952649725
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Entity Type | Organization
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Legal Business Name | COMPLETE WELL-BEING CTR.
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 13501 SW 136TH ST STE 212
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City | MIAMI
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State | FL
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Zip | 33186-8321
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Country | US
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Telephone | 786-501-5607
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Fax |
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Provider Business Mailing Address
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Address Line | 12841 SW 135TH ST
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City | MIAMI
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State | FL
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Zip | 33186-6571
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Country | US
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Telephone | 786-429-3983
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHELLE EGGENBERGER
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Credential | D.O.M
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Telephone | 786-429-3983
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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 | AP2602
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License Number State | FL
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