Mark Edward Dedrick in Jacksonville - Acupuncturist
Mark Edward Dedrick - NPI 1629165154
Mark Edward Dedrick is a Acupuncturist in Jacksonville, Florida. Mark Edward Dedrick practices all healthcare services and medical treatments related to Acupuncturist. The NPI Number for Mark Edward Dedrick is 1629165154. The last update date is 2007-07-08.
Mark Edward Dedrick's current location address is 3517 Docksider Dr N, Jacksonville, Florida. You can contact this provider via phone number 9047422967. The mailing address for Mark Edward Dedrick is 3517 Docksider Dr N, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edward Dedrick |
|---|---|
| Address | 3517 Docksider Dr N, Jacksonville, Florida |
| Phone Number | 9047422967 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | AAS, BS, M |
NPI Number Detail
| NPI Number | 1629165154 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3517 Docksider Dr N |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322576329 |
| Phone Number | 9047422967 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Acupuncturist |
|---|---|
| Taxonomy | 171100000X |
| Licence No | AP1427 |
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Definition: An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthes |
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What is the unique 10-digit identifier code assigned to Mark Edward Dedrick by the Centers for Medicare & Medicaid Services?
The Mark Edward Dedrick has been issued the NPI (National Provider Identifier) 1629165154 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Mark Edward Dedrick located?
The Mark Edward Dedrick is located at 3517 Docksider Dr N, Jacksonville, FL 322576329.
What is Mark Edward Dedrick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Edward Dedrick's specialized field of practice is Acupuncturist, and the corresponding taxonomy code that categorizes this area of specialization is 171100000X.
When was the Mark Edward Dedrick's 1629165154 issued?
The Mark Edward Dedrick's 1629165154 was issued on 2006-10-06.
As of what date were the details pertaining to Mark Edward Dedrick last refreshed?
The information related to the Mark Edward Dedrick, including its address, specialty, and other relevant details, was last updated on 2007-07-08.