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General NPI Number Information
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NPI Number | 1174034987
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Entity Type | Organization
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Legal Business Name | AKANE TAKEI
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE STE 118
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City | LOS ANGELES
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State | CA
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Zip | 90025-5337
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Country | US
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Telephone | 424-254-9028
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 HUNTINGTON LN APT 4
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City | REDONDO BEACH
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State | CA
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Zip | 90278-4258
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Country | US
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Telephone | 310-618-4873
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | AKANE TAKEI
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Credential | LAC
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Telephone | 424-254-9028
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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 | AC17672
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License Number State | CA
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