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General NPI Number Information
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NPI Number | 1073818019
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Entity Type | Individual
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Provider Name | LAUREN ANNE SUGARMAN L.AC.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 250 BEL MARIN KEYS BLVD STE 6
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City | NOVATO
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State | CA
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Zip | 94949-5727
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Country | US
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Telephone | 415-234-8864
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Fax |
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Provider Business Mailing Address
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Address Line | 2436 FOOTHILL BLVD STE C
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City | CALISTOGA
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State | CA
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Zip | 94515-1209
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Country | US
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Telephone | 707-942-3927
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Fax | 707-942-3965
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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 | AC 13046
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License Number State | CA
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