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General NPI Number Information
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NPI Number | 1053228114
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Entity Type | Individual
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Provider Name | BENJAMIN JAMES FISH DACCHM., LAC., CMT.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 7185 NAVAJO RD STE A
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City | SAN DIEGO
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State | CA
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Zip | 92119-1648
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Country | US
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Telephone | 619-356-3931
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Fax |
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Provider Business Mailing Address
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Address Line | 7275 STANFORD AVE
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City | LA MESA
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State | CA
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Zip | 91942-8759
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Country | US
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Telephone | 818-825-9793
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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 | AC20658
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License Number State | CA
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