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General NPI Number Information
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NPI Number | 1063789782
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Entity Type | Organization
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Legal Business Name | COMMUNITY ACUPUNCTURE INC.
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 1600 AMPHITHEATRE PKWY
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-1351
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Country | US
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Telephone | 530-865-8727
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Fax |
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Provider Business Mailing Address
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Address Line | 2833 WASHINGTON ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-1724
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Country | US
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Telephone | 415-298-9347
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MRS. LAUREN HANSEN
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Credential |
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Telephone | 415-298-9347
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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 | AC12510
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License Number State | CA
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