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General NPI Number Information
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NPI Number | 1134909252
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Entity Type | Individual
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Provider Name | CLARA JO HEINRITZ L.AC.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 699 S. MAIN ST.
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City | TEMPLETON
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State | CA
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Zip | 93465
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Country | US
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Telephone | 805-434-1804
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Fax | 805-434-1855
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Provider Business Mailing Address
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Address Line | P.O. BOX 1582
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City | TEMPLETON
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State | CA
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Zip | 93465
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Country | US
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Telephone | 805-801-4490
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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 | AC6044
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License Number State | CA
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