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General NPI Number Information
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NPI Number | 1225900368
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Entity Type | Individual
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Provider Name | JENNIFER SMITH L.AC
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Gender | Female
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 10/24/2025
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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 | 323-929-2130
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Fax |
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Provider Business Mailing Address
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Address Line | 4264 MILDRED AVE
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City | LOS ANGELES
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State | CA
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Zip | 90066-6115
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Country | US
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Telephone | 561-213-5145
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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 | 20402
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License Number State | CA
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