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General NPI Number Information
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NPI Number | 1073203352
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Entity Type | Organization
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Legal Business Name | ULTIMATE CARE ACUPUNCTURE & HERBS CENTER, INC.
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 1516 WESTWOOD BLVD STE 104
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City | LOS ANGELES
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State | CA
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Zip | 90024-5616
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Country | US
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Telephone | 424-777-5380
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Fax | 424-777-4090
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Provider Business Mailing Address
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Address Line | 1516 WESTWOOD BLVD STE 104
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City | LOS ANGELES
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State | CA
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Zip | 90024-5616
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Country | US
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Telephone | 424-777-5380
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Fax | 424-777-4090
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Authorized Official
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Title or Position | ACUPUNCTURIST AND HERBALIST
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Name | DR. MARYAM NOURI SAFIYA
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Credential | DACM. LAC.
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Telephone | 424-777-5380
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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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