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General NPI Number Information
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NPI Number | 1417303033
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE BY HOMA, INC
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Dates
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Enumeration Date | 05/12/2016
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Last Update Date | 05/12/2016
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Provider Practice Location Address
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Address Line | 234 S PACIFIC COAST HWY SUITE 205
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City | REDONDO BEACH
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State | CA
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Zip | 90277-3383
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Country | US
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Telephone | 310-372-5555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1915
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City | MANHATTAN BEACH
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State | CA
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Zip | 90267-1915
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOMA SAJADIAN SIKON
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Credential |
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Telephone | 310-936-7681
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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 | 12590
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License Number State | CA
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