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General NPI Number Information
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NPI Number | 1346762119
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Entity Type | Organization
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Legal Business Name | CHRISTINA BIRD ACUPUNCTURE, PC
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/12/2017
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Provider Practice Location Address
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Address Line | 305 LAUREL ST
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City | SAN DIEGO
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State | CA
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Zip | 92101-1630
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Country | US
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Telephone | 619-630-5228
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 ISLAND AVE UNIT 318
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City | SAN DIEGO
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State | CA
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Zip | 92101-7261
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Country | US
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Telephone | 619-630-5228
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MS. CHRISTINA LYNN BIRD WARD
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Credential | L.AC.
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Telephone | 619-630-5228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AC15093
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License Number State | CA
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