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General NPI Number Information
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NPI Number | 1255493979
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Entity Type | Individual
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Provider Name | CARMENCITA GARCIA CASTRO LAC
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Gender | Female
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Dates
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Enumeration Date | 12/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 750 E GRAND AVE SUITE A
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City | ESCONDIDO
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State | CA
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Zip | 92025-4460
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Country | US
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Telephone | 760-738-7008
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Fax | 760-738-1459
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Provider Business Mailing Address
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Address Line | 120 NEPTUNE PL
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City | ESCONDIDO
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State | CA
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Zip | 92026-2076
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Country | US
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Telephone | 760-420-7596
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Fax | 760-739-1949
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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 | AC 6841
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License Number State | CA
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