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NPI 1255209045

NPI 1255209045 : MC ACUPUNCTURE GROUP INC : EL SEGUNDO, CA

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General NPI Number Information
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    NPI Number           |    1255209045
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    Entity Type          |    Organization 
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    Legal Business Name  |    MC ACUPUNCTURE GROUP INC 
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Dates
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    Enumeration Date     |    10/24/2025
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    Last Update Date     |    10/24/2025
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Provider Practice Location Address
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    Address Line         |    645 S. ALLIED WAY 
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    City                 |    EL SEGUNDO
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    State                |    CA
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    Zip                  |    90245
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    Country              |    US
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    Telephone            |    310-395-8363
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    645 S. ALLIED WAY 
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    City                 |    EL SEGUNDO
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    State                |    CA
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    Zip                  |    90245
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    Country              |    US
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    Telephone            |    310-395-8363
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRACTITIONER
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    Name                 |     MURRAY COLIN CLARKE 
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    Credential           |    L.AC.
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    Telephone            |    310-395-8363
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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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