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General NPI Number Information
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NPI Number | 1164960597
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Entity Type | Organization
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Legal Business Name | HEALING TREE WELLNESS CENTER INC
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Dates
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Enumeration Date | 02/06/2017
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 3975 JACKSON ST SUITE 2069
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City | RIVERSIDE
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State | CA
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Zip | 92503-3901
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Country | US
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Telephone | 949-351-2377
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Fax | 949-351-2378
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Provider Business Mailing Address
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Address Line | 3975 JACKSON ST SUITE 2069
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City | RIVERSIDE
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State | CA
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Zip | 92503-3901
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Country | US
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Telephone | 949-351-2377
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Fax | 949-351-2378
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHERINE E CHEON
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Credential | ACCU
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Telephone | 949-351-2377
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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 |
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License Number State |
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