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General NPI Number Information
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NPI Number | 1326412115
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Entity Type | Organization
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Legal Business Name | IOANNA VOULOUMANOU
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 3070 N ARROYO DR
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City | SAN DIEGO
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State | CA
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Zip | 92103-6118
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Country | US
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Telephone | 619-300-7499
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Fax |
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Provider Business Mailing Address
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Address Line | 3070 N ARROYO DR
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City | SAN DIEGO
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State | CA
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Zip | 92103-6118
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Country | US
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Telephone | 619-300-7499
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Fax |
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Authorized Official
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Title or Position | MSAOM
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Name | MISS IOANNA VOULOUMANOU
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Credential | LAC
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Telephone | 619-300-7499
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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 | AC16751
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License Number State | CA
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