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General NPI Number Information
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NPI Number | 1417231564
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Entity Type | Organization
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Legal Business Name | UCHIDA ACUPUNCTURE INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 5839 GREEN VALLEY CIR SUITE 201
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City | CULVER CITY
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State | CA
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Zip | 90230-6937
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Country | US
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Telephone | 424-543-6775
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Fax | 424-543-6776
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Provider Business Mailing Address
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Address Line | 5839 GREEN VALLEY CIR SUITE 201
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City | CULVER CITY
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State | CA
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Zip | 90230-6937
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Country | US
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Telephone | 424-543-6775
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Fax | 424-543-6776
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN UCHIDA
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Credential | LAC
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Telephone | 310-430-6267
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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 | AC7970
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License Number State | CA
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