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General NPI Number Information
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NPI Number | 1043178908
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Entity Type | Organization
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Legal Business Name | WARRIOR MEDICINE AND ACUPUNCTURE PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3636 5TH AVE STE 104
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City | SAN DIEGO
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State | CA
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Zip | 92103-4230
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Country | US
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Telephone | 619-431-0547
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Fax | 619-354-1704
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Provider Business Mailing Address
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Address Line | 3636 5TH AVE STE 104
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City | SAN DIEGO
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State | CA
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Zip | 92103-4230
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Country | US
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Telephone | 619-431-0547
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Fax | 619-354-1704
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Authorized Official
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Title or Position | PRESIDENT
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Name | CAROLYN SMYTH
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Credential | DACM, L.AC
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Telephone | 619-431-0547
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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 |
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License Number State |
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