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General NPI Number Information
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NPI Number | 1982899555
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Entity Type | Organization
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Legal Business Name | ACOMED HEALTH CARE CENTER
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 2331 N STATE ROAD 7 STE 222
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-3773
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Country | US
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Telephone | 954-731-6300
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Fax | 954-731-5777
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Provider Business Mailing Address
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Address Line | 2331 N STATE ROAD 7 STE 222
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-3773
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Country | US
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Telephone | 954-731-6300
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Fax | 954-731-5777
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Authorized Official
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Title or Position | ACUPUNCTURE PHYSICIAN
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Name | SAMSON DENIS
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Credential | OMD:AP
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Telephone | 954-731-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | AP2221
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License Number State | FL
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