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General NPI Number Information
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NPI Number | 1992970743
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Entity Type | Organization
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Legal Business Name | MERIDIAN ACUPUNCTURE CENTER INC
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 14022 5TH ST STE B
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City | DADE CITY
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State | FL
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Zip | 33525-4323
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Country | US
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Telephone | 352-458-9234
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Fax | 352-518-4627
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Provider Business Mailing Address
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Address Line | 14022 5TH ST STE B
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City | DADE CITY
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State | FL
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Zip | 33525-4323
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Country | US
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Telephone | 352-458-9234
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Fax | 352-518-4627
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT H BOOKER
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Credential | AP/DOM
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Telephone | 352-458-9234
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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 | 0738
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License Number State | FL
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