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General NPI Number Information
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NPI Number | 1992031421
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Entity Type | Organization
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Legal Business Name | EAST WEST COLLEGE OF NATURAL MEDICINE
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Dates
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Enumeration Date | 10/17/2009
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Last Update Date | 10/17/2009
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Provider Practice Location Address
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Address Line | 3808 N TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34234-5362
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Country | US
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Telephone | 941-355-9080
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Fax | 941-355-3243
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Provider Business Mailing Address
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Address Line | 3808 N TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34234-5362
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Country | US
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Telephone | 941-355-9080
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Fax | 941-355-3243
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Authorized Official
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Title or Position | CEO
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Name | MS. CYNTHIA O'DONNELL
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Credential |
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Telephone | 941-355-9080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 58-64-01550
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License Number State | FL
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