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General NPI Number Information
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NPI Number | 1972065183
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Entity Type | Organization
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Legal Business Name | AISA YAMAGUCHI ACUPUNCTURE LLC
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 1009 WEBSTER AVENUE
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City | ORLANDO
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State | FL
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Zip | 32804
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Country | US
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Telephone | 321-775-5968
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 WEBSTER AVENUE
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City | ORLANDO
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State | FL
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Zip | 32804
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Country | US
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Telephone | 321-775-5968
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. AISA YAMAGUCHI
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Credential | AP
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Telephone | 321-775-5968
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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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