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General NPI Number Information
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NPI Number | 1104537679
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Entity Type | Organization
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Legal Business Name | DR. SAKYA INTEGRATIVE WELLNESS CENTER, INC
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 3080 N PARK WAY
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City | SAN DIEGO
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State | CA
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Zip | 92104-3625
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Country | US
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Telephone | 619-294-6616
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Fax | 619-294-6618
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Provider Business Mailing Address
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Address Line | 3080 N PARK WAY
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City | SAN DIEGO
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State | CA
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Zip | 92104-3625
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Country | US
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Telephone | 619-294-6616
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Fax | 619-294-6618
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | DR. NAMRATA SAKYA
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Credential | DACM
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Telephone | 619-294-6616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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