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General NPI Number Information
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NPI Number | 1295985026
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Entity Type | Organization
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Legal Business Name | KIFER ALTERNATIVE MEDICAL CLINIC
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 1288 KIFER RD SUITE 210
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City | SUNNYVALE
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State | CA
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Zip | 94086-5327
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Country | US
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Telephone | 408-984-2455
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Fax | 408-217-2085
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Provider Business Mailing Address
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Address Line | 53 CRONIN DR
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City | SANTA CLARA
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State | CA
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Zip | 95051-6719
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Country | US
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Telephone | 408-984-2455
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Fax | 408-984-2456
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Authorized Official
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Title or Position | OWNER/OFFICE MANAGER
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Name | MR. DAMON CHARLES FRACH
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Credential |
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Telephone | 408-984-2455
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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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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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