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General NPI Number Information
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NPI Number | 1396504072
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE FOR MIND & BODY, INC
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Dates
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Enumeration Date | 03/15/2024
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 12243 POWAY RD
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City | POWAY
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State | CA
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Zip | 92064-4217
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Country | US
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Telephone | 858-261-8038
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Fax | 858-380-4248
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Provider Business Mailing Address
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Address Line | 12243 POWAY RD
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City | POWAY
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State | CA
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Zip | 92064-4217
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Country | US
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Telephone | 858-261-8038
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Fax | 858-380-4248
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | PIN LU
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Credential |
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Telephone | 858-261-8038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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