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General NPI Number Information
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NPI Number | 1255451357
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Entity Type | Organization
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Legal Business Name | PIEDMONT AVENUE CLINIC
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3927 PIEDMONT AVE
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City | OAKLAND
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State | CA
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Zip | 94611-5351
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Country | US
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Telephone | 510-655-0555
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Fax | 510-655-4982
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Provider Business Mailing Address
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Address Line | 3927 PIEDMONT AVE
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City | OAKLAND
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State | CA
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Zip | 94611-5351
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Country | US
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Telephone | 510-655-0555
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Fax | 510-655-4982
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Authorized Official
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Title or Position | DIPL.AC, CCH
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Name | DR. DANIEL DONNER
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Credential | L.AC.
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Telephone | 510-655-0555
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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 | AC3010
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number | AC3010
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License Number State | CA
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