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General NPI Number Information
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NPI Number | 1962263947
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC ACUPUNCTURE LLC
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 1360 S PATRICK DR STE 10
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City | SATELLITE BEACH
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State | FL
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Zip | 32937-4316
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Country | US
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Telephone | 321-294-7416
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Fax | 914-617-5971
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Provider Business Mailing Address
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Address Line | 1360 S PATRICK DR STE 10
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City | SATELLITE BEACH
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State | FL
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Zip | 32937-4316
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Country | US
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Telephone | 321-294-7416
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Fax | 914-617-5971
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Authorized Official
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Title or Position | ACUPUNCTURE PHYSICIAN /OWNER
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Name | DR. DOREEN RISER
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Credential | A.P.
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Telephone | 321-294-7416
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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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