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General NPI Number Information
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NPI Number | 1023137783
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Entity Type | Individual
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Provider Name | DEBRA SUE KELVIN L. AC., DIPL. AC.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2011
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Provider Practice Location Address
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Address Line | 743 ADDISON ST
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City | BERKELEY
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State | CA
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Zip | 94710-1945
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Country | US
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Telephone | 510-334-2472
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Fax |
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Provider Business Mailing Address
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Address Line | 743 ADDISON STREET
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City | BERKELEY
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State | CA
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Zip | 94710
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Country | US
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Telephone | 510-334-2472
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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 | AC 8925
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License Number State | CA
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