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General NPI Number Information
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NPI Number | 1275153447
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE INSTITUTE
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 859 UNIVERSITY AVE APT 7
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City | LOS GATOS
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State | CA
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Zip | 95032-7616
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Country | US
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Telephone | 831-224-7621
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Fax |
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Provider Business Mailing Address
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Address Line | 859 UNIVERSITY AVE APT 7
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City | LOS GATOS
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State | CA
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Zip | 95032-7616
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Country | US
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Telephone | 831-224-7621
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Fax |
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Authorized Official
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Title or Position | CEO, CFO
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Name | DR. JACQUELYN C. BYRD
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Credential | DAOM, L.AC.
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Telephone | 831-224-7621
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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 |
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License Number State |
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