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General NPI Number Information
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NPI Number | 1386072601
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Entity Type | Individual
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Provider Name | HIROKO OGURA LAC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 1224 E GREEN ST STE 100
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City | PASADENA
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State | CA
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Zip | 91106
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Country | US
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Telephone | 626-755-6260
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Fax |
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Provider Business Mailing Address
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Address Line | 11324 HUSTON ST APT 7
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-4414
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Country | US
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Telephone | 818-915-4683
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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 | 10770
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License Number State | CA
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