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General NPI Number Information
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NPI Number | 1346542917
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE PAIN AND HEALTHCARE, INC.
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 4955 VAN NUYS BLVD SUITE 405
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1801
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Country | US
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Telephone | 818-906-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 W SAN BERNARDINO RD SUITE 150
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City | COVINA
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State | CA
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Zip | 91722-4163
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Country | US
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Telephone | 818-906-0808
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KEN N CHERMAN
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Credential | LAC
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Telephone | 323-314-3578
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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 | AC4054
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License Number State | CA
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