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General NPI Number Information
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NPI Number | 1184442907
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Entity Type | Individual
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Provider Name | JESSIE REI YAMASAKI-SANDERS L.AC., DATM
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Gender |
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 2945 ROWENA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90039-2003
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Country | US
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Telephone | 323-522-3822
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Fax |
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Provider Business Mailing Address
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Address Line | 4856 ROUND TOP DR
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City | LOS ANGELES
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State | CA
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Zip | 90065-5230
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Country | US
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Telephone | 704-941-9440
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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 | AC20188
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License Number State | CA
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