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General NPI Number Information
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NPI Number | 1225485683
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Entity Type | Organization
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Legal Business Name | CHECKPOINT ACUPUNCTURE
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 6150 MISSION ST SUITE 111
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City | DALY CITY
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State | CA
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Zip | 94014-2063
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Country | US
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Telephone | 650-557-3818
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Fax |
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Provider Business Mailing Address
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Address Line | 120 AVALON DR
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City | DALY CITY
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State | CA
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Zip | 94015-4553
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Country | US
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Telephone | 650-557-3818
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST/OWNER
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Name | MILTON LEE
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Credential |
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Telephone | 650-557-3818
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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 | AC 15449
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License Number State | CA
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