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General NPI Number Information
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NPI Number | 1497008858
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Entity Type | Organization
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Legal Business Name | MORGAN HILL FAMILY WELLNESS
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Dates
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Enumeration Date | 10/23/2012
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 15585 MONTEREY ST. SUITE C
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City | MORGAN HILL
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State | CA
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Zip | 95037
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Country | US
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Telephone | 408-776-0420
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Fax | 408-776-0424
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Provider Business Mailing Address
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Address Line | 15585 MONTEREY ST. SUITE C
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City | MORGAN HILL
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State | CA
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Zip | 95037
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Country | US
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Telephone | 408-776-0420
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Fax | 408-776-0424
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MRS. ROBIN L GREEN
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Credential | L.AC.
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Telephone | 408-776-0420
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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 | AC14335
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC9249
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License Number State | CA
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