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General NPI Number Information
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NPI Number | 1003247875
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Entity Type | Individual
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Provider Name | JENNIFER CALMA DABU DACM,L.AC., DIPL.AC.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2013
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 200 WHITE SPRUCE BLVD STE 14
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City | ROCHESTER
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State | NY
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Zip | 14623-1605
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Country | US
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Telephone | 585-775-9955
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SHERWOOD DR
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City | PITTSFORD
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State | NY
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Zip | 14534-1513
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Country | US
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Telephone | 585-775-9955
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 12588
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 005513
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License Number State | NY
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