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General NPI Number Information
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NPI Number | 1972861029
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Entity Type | Individual
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Provider Name | CLAUDIA-MARCELA MUNOZ-RIVERA P.A., LIC. AC.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 09/23/2015
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Provider Practice Location Address
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Address Line | 1775 SW GATLIN BLVD SUITE 204
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-2794
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Country | US
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Telephone | 772-444-7172
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Fax |
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Provider Business Mailing Address
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Address Line | 1775 SW GATLIN BLVD SUITE 204
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-2794
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Country | US
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Telephone | 772-444-7172
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 004593
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP3513
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License Number State | FL
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