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General NPI Number Information
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NPI Number | 1114064094
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Entity Type | Individual
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Provider Name | KRISTINE HAUG L.AC., DIPL. AC.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12889 RANCHO PENASQUITOS BLVD STE B
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City | SAN DIEGO
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State | CA
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Zip | 92129-2934
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Country | US
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Telephone | 858-538-8699
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Fax | 858-538-8899
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Provider Business Mailing Address
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Address Line | 2778 POWHATAN AVE
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City | SAN DIEGO
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State | CA
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Zip | 92117-2420
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Country | US
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Telephone | 858-945-3958
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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 | AC10024
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License Number State | CA
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