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DR. MARK EDWARD DEDRICK AAS BS MSOM AP NPI 1629165154


NPI Information

NPI: 1629165154
Provider Name: DR. MARK EDWARD DEDRICK, AAS, BS, MSOM, AP
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
8280 PRINCETON SQUARE BLVD W STE 1
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 742-2967
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DR. Mark Edward Dedrick, AAS, BS, MSOM, AP is an acupuncturist in Jacksonville, FL. The provider is 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 anesthesia. DR. Mark Edward Dedrick, AAS, BS, MSOM, AP NPI is 1629165154. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8280 PRINCETON SQUARE BLVD W STE 1
JACKSONVILLE, FL
ZIP 32256-362
Phone: (904) 742-2967

The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturistAP1427FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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