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General NPI Number Information
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NPI Number | 1427577303
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Entity Type | Organization
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Legal Business Name | DAVID LEE ACUPUNCTURE
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 166 N MOORPARK RD 201
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4405
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Country | US
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Telephone | 805-497-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 166 NORTH MOORPARK ROAD 201
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4410
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Country | US
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Telephone | 805-497-6200
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DAVID LEE
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Credential |
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Telephone | 805-497-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AC7417
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License Number State | CA
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