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General NPI Number Information
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NPI Number | 1366795833
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Entity Type | Organization
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Legal Business Name | SAN FRANCISCO NATUROPATHIC & ACUPUNCTURE MEDICINE, INC.
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Dates
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Enumeration Date | 10/22/2012
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 1996 UNION ST SUITE 300
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-4230
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Country | US
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Telephone | 415-441-5659
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Fax | 415-929-2953
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Provider Business Mailing Address
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Address Line | 1996 UNION ST SUITE 300
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-4230
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Country | US
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Telephone | 415-441-5659
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Fax | 415-929-2953
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Authorized Official
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Title or Position | CEO
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Name | DR. MITSUKO ISHIMARU
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Credential | ND, LAC
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Telephone | 415-441-5659
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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 | 15027
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MP-07958
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND-545
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License Number State | CA
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