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General NPI Number Information
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NPI Number | 1346462041
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Entity Type | Individual
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Provider Name | BRIAN JOHN MCENANEY L.AC
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 W EL CAMINO REAL STE 64
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-2649
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Country | US
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Telephone | 650-988-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 980 BELMONT TER UNIT 1
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City | SUNNYVALE
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State | CA
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Zip | 94086-4800
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Country | US
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Telephone | 408-718-7244
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC 10098
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License Number State | CA
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