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General NPI Number Information
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NPI Number | 1205037165
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Entity Type | Individual
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Provider Name | KRISTI AMBER WEISS L.AC., P.A.-C
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 06/03/2009
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Provider Practice Location Address
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Address Line | 369 PINE ST STE 422
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-3310
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Country | US
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Telephone | 415-788-4128
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Fax |
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Provider Business Mailing Address
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Address Line | 1840 41ST AVE # 102-131
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City | CAPITOLA
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State | CA
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Zip | 95010-2513
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Country | US
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Telephone | 415-251-7609
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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 | 8627
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 19672
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License Number State | CA
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