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General NPI Number Information
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NPI Number | 1386894475
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Entity Type | Individual
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Provider Name | JOSEPH RECSNIK L.AC
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Gender | Male
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 1615 ABBOT KINNEY BLVD
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City | VENICE
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State | CA
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Zip | 90291
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Country | US
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Telephone | 310-399-7199
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Fax |
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Provider Business Mailing Address
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Address Line | 800 N TOPANGA CANYON BLVD
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City | TOPANGA
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State | CA
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Zip | 90290
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Country | US
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Telephone | 323-401-8405
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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 | AC11649
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License Number State | CA
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