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General NPI Number Information
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NPI Number | 1104067354
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Entity Type | Individual
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Provider Name | MICHAEL R. JULIEN I L.AC.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 1011 DEVONSHIRE DR STE B
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City | ENCINITAS
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State | CA
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Zip | 92024-5136
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Country | US
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Telephone | 858-216-4419
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Fax | 858-876-1987
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Provider Business Mailing Address
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Address Line | 6717 LIMONITE CT
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City | CARLSBAD
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State | CA
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Zip | 92009-5202
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Country | US
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Telephone | 858-216-4419
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Fax | 858-876-1987
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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 | 12866
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License Number State | CA
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