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General NPI Number Information
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NPI Number | 1245695980
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Entity Type | Individual
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Provider Name | LYNN JOAN FASSLER L.AC.
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Gender | Female
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 133 ARGALL WAY STE D
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City | NEVADA CITY
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State | CA
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Zip | 95959-3041
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Country | US
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Telephone | 530-559-9898
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Fax |
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Provider Business Mailing Address
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Address Line | 133 ARGALL WAY, SUITE D
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City | NEVADA CITY
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State | CA
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Zip | 95959
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Country | US
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Telephone | 530-559-9898
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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 | AC3285
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License Number State | CA
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