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General NPI Number Information
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NPI Number | 1053891432
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Entity Type | Organization
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Legal Business Name | THE INN SPOT COMMUNITY ACUPUNCTURE & STRESS RELIEF LOUNGE
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 3505 CAMINO DEL RIO S STE 338
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City | SAN DIEGO
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State | CA
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Zip | 92108-4017
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Country | US
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Telephone | 619-550-5200
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Fax | 619-550-5300
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Provider Business Mailing Address
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Address Line | 1621 HOTEL CIR S # 128
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City | SAN DIEGO
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State | CA
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Zip | 92108-3323
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Country | US
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Telephone | 619-322-2713
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GUY PAGE
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Credential |
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Telephone | 619-322-2713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | CA
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