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General NPI Number Information
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NPI Number | 1073221024
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Entity Type | Individual
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Provider Name | SHEILA O'TOOLE L.AC.
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Gender | Female
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 764 CEDAR ST
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City | GARBERVILLE
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State | CA
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Zip | 95542-3222
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Country | US
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Telephone | 707-923-3644
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 604
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City | WHITETHORN
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State | CA
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Zip | 95589-0604
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Country | US
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Telephone | 440-263-7397
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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 | 19586
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License Number State | CA
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