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General NPI Number Information
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NPI Number | 1114466018
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Entity Type | Organization
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Legal Business Name | ADVANCED ACUPUNCTURE AND HEALING, INC.
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 40055 BOB HOPE DR SUITE H
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3937
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Country | US
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Telephone | 760-832-7585
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Fax |
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Provider Business Mailing Address
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Address Line | 40055 BOB HOPE DR SUITE H
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3937
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Country | US
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Telephone | 760-832-7585
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. STEPHANIE LEE
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Credential | L.AC. PH.D.
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Telephone | 760-832-7585
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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 | AC16790
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC16316
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License Number State | CA
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