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General NPI Number Information
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NPI Number | 1194433284
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Entity Type | Organization
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Legal Business Name | MUSE OF HEALING ACUPUNCTURE & WELLNESS CENTER
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 3275 PERALTA ST UNIT 332
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City | OAKLAND
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State | CA
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Zip | 94608-4169
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Country | US
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Telephone | 510-479-5330
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22002
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City | OAKLAND
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State | CA
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Zip | 94623-2002
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Country | US
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Telephone | 510-479-5330
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | TERIE FAUGHTNER
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Credential | L.AC.
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Telephone | 510-479-5330
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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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