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General NPI Number Information
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NPI Number | 1265309264
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Entity Type | Organization
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Legal Business Name | DR. DAVINA INC.
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 499 SEAPORT CT STE 101
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City | REDWOOD CITY
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State | CA
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Zip | 94063-2782
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Country | US
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Telephone | 650-366-4299
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Fax |
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Provider Business Mailing Address
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Address Line | 499 SEAPORT CT STE 101
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City | REDWOOD CITY
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State | CA
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Zip | 94063-2782
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Country | US
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Telephone | 650-366-4299
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Fax |
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Authorized Official
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Title or Position | OWNER, LEAD ACUPUNCTURIST
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Name | DR. DAVINA DICK
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Credential | DAOM, L.AC.
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Telephone | 650-366-4299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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