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General NPI Number Information
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NPI Number | 1265636617
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Entity Type | Individual
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Provider Name | TAMMY C VENTERS L.AC.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10180 CULVER BLVD
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City | CULVER CITY
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State | CA
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Zip | 90232-3152
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Country | US
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Telephone | 310-815-1454
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 4TH ST 302A
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City | SANTA MONICA
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State | CA
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Zip | 90405-1122
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Country | US
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Telephone | 310-560-1753
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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 | AC 5367
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License Number State | CA
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