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General NPI Number Information
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NPI Number | 1144390550
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Entity Type | Organization
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Legal Business Name | PERSIMMON, A CENTER FOR HEALING ACUPUNCTURE CORPORATION
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 06/15/2009
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Provider Practice Location Address
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Address Line | 820 GRAVENSTEIN AVE SUITE 100
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City | SEBASTOPOL
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State | CA
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Zip | 95472-4557
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Country | US
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Telephone | 707-823-8903
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Fax | 707-676-8688
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Provider Business Mailing Address
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Address Line | 820 GRAVENSTEIN AVE SUITE 100
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City | SEBASTOPOL
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State | CA
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Zip | 95472-4557
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Country | US
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Telephone | 707-823-8903
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Fax | 707-676-8688
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Authorized Official
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Title or Position | OWNER
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Name | MS. RUTH ESTHER SCHLESINGER
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Credential | L.AC
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Telephone | 707-823-8903
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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 | AC 7634
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License Number State | CA
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