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General NPI Number Information
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NPI Number | 1265777007
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Entity Type | Organization
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Legal Business Name | HEALTHMERICA, INC.
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 2050 W. CHAPMAN AVE. SUITE 177
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City | ORANGE
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State | CA
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Zip | 92868
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Country | US
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Telephone | 714-539-0878
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Fax | 714-385-8155
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Provider Business Mailing Address
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Address Line | 2050 W. CHAPMAN AVE. SUITE 177
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City | ORANGE
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State | CA
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Zip | 92868
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Country | US
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Telephone | 714-539-0878
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Fax | 714-385-8155
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JOHNSON W LOW
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Credential |
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Telephone | 714-539-0878
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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 | 11613
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License Number State | CA
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