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General NPI Number Information
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NPI Number | 1164850988
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Entity Type | Individual
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Provider Name | ZAYNAH J. SHABO LAC.
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Gender | Female
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Dates
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Enumeration Date | 10/15/2013
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 72205 PAINTERS PATH
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City | PALM DESERT
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State | CA
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Zip | 92260-2748
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Country | US
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Telephone | 760-820-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 41590 MAROON TOWN DR APT A
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City | BERMUDA DUNES
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State | CA
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Zip | 92203-1194
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Country | US
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Telephone | 760-820-9355
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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 | 15642
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License Number State | CA
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