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General NPI Number Information
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NPI Number | 1962980136
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Entity Type | Organization
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Legal Business Name | NORBELIS, LLC
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 6435 CENTRAL AVE
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City | ST PETERSBURG
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State | FL
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Zip | 33710-8411
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Country | US
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Telephone | 727-279-5388
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Fax |
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Provider Business Mailing Address
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Address Line | 506 N MADISON AVE
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City | CLEARWATER
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State | FL
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Zip | 33755-4615
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Country | US
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Telephone | 269-366-1534
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MONICA KULAK
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Credential |
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Telephone | 727-418-4401
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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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