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General NPI Number Information
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NPI Number | 1295014264
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Entity Type | Organization
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Legal Business Name | LOS ANGELES MOBILE ACUPUNCTURE
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 19100 VENTURA BLVD SUITE A
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City | TARZANA
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State | CA
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Zip | 91356-3239
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Country | US
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Telephone | 866-629-8089
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Fax | 310-997-2665
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Provider Business Mailing Address
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Address Line | 19100 VENTURA BLVD SUITE A
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City | TARZANA
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State | CA
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Zip | 91356-3239
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Country | US
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Telephone | 866-629-8089
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Fax | 310-997-2665
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Authorized Official
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Title or Position | CLINIC DIRECTOR/ACUPUNCTURIST
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Name | MR. ALMA WAYNE MYERS
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Credential | L.AC.
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Telephone | 886-629-8089
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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 | 13863
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License Number State | CA
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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 | 13647
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 13546
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 14111
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 14416
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 13317
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 13391
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License Number State | CA
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