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General NPI Number Information
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NPI Number | 1447651831
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Entity Type | Organization
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Legal Business Name | EL CAMINO ACUPUNCTURE
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Dates
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Enumeration Date | 09/04/2014
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 317 N EL CAMINO REAL SUITE 406
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City | ENCINITAS
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State | CA
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Zip | 92024-2811
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Country | US
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Telephone | 760-917-7180
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Fax | 760-634-1884
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Provider Business Mailing Address
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Address Line | 317 N EL CAMINO REAL SUITE 406
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City | ENCINITAS
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State | CA
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Zip | 92024-2811
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Country | US
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Telephone | 760-917-7180
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Fax | 760-634-1884
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Authorized Official
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Title or Position | OWNER
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Name | MS. RACHEL FRANCES PAGONES
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Credential | L.AC.
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Telephone | 760-917-7180
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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 | 15896
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License Number State | CA
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