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General NPI Number Information
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NPI Number | 1447472444
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Entity Type | Individual
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Provider Name | JOHN PALLADINO
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9150 WILSHIRE BLVD STE 259
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City | BEVERLY HILLS
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State | CA
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Zip | 90212
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Country | US
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Telephone | 310-271-9968
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 323-571-3939
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Fax | 323-571-3939
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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 | AC10079
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License Number State | CA
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