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General NPI Number Information
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NPI Number | 1326441130
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Entity Type | Organization
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Legal Business Name | RACHEL ROOT
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 1801 BUSH ST SUITE 107
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5239
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Country | US
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Telephone | 415-441-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 MARIPOSA ST 5
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-2453
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | RACHEL ROOT
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Credential | L.AC.
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Telephone | 480-242-4996
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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 | 16184
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License Number State | CA
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