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General NPI Number Information
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NPI Number | 1487980447
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE FOR ATHLETICS
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 1996 UNION STREET 3RD FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94123
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Country | US
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Telephone | 415-377-5863
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Fax | 530-865-8593
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Provider Business Mailing Address
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Address Line | 1996 UNION STREET 3RD FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94123
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Country | US
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Telephone | 415-377-5863
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURE
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Name | MR. ANDREW CASTELLANOS
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Credential | L.AC.
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Telephone | 415-377-5863
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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 |
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License Number State |
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