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General NPI Number Information
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NPI Number | 1467858944
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Entity Type | Organization
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Legal Business Name | LOVE'S ACUPUNCTURE
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Dates
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Enumeration Date | 11/11/2014
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Last Update Date | 11/11/2014
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Provider Practice Location Address
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Address Line | 9545 FOLSOM BLVD STE 3
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City | SACRAMENTO
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State | CA
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Zip | 95827-1209
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Country | US
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Telephone | 916-917-5565
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Fax | 916-917-5565
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Provider Business Mailing Address
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Address Line | 9545 FOLSOM BLVD STE 3
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City | SACRAMENTO
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State | CA
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Zip | 95827-1209
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Country | US
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Telephone | 916-917-5565
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Fax | 916-917-5565
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | LOVE JUNG
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Credential | L.AC
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Telephone | 916-917-5565
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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 | L.AC12212
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License Number State | CA
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