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General NPI Number Information
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NPI Number | 1154677169
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Entity Type | Organization
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Legal Business Name | VITALITY ACUPUNCTURE
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 3023 BUNKER HILL ST SUITE 201
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City | SAN DIEGO
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State | CA
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Zip | 92109-5706
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Country | US
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Telephone | 619-818-2358
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Fax | 858-750-3500
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Provider Business Mailing Address
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Address Line | 3023 BUNKER HILL ST SUITE 201
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City | SAN DIEGO
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State | CA
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Zip | 92109-5706
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Country | US
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Telephone | 619-818-2358
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Fax | 858-750-3500
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Authorized Official
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Title or Position | OWNER/LICENSED ACUPUNCTURIST
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Name | MS. KAREN RENE ROHRBAUGH
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Credential | L.AC.
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Telephone | 619-818-2358
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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 10643
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License Number State | CA
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