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General NPI Number Information
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NPI Number | 1497141766
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Entity Type | Organization
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Legal Business Name | EAST-WEST INTEGRATIVE MEDICINE AND ACUPUNCTURE CLINIC , A PROFESSIONAL
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 04/13/2015
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Provider Practice Location Address
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Address Line | 605 CHENERY ST STE B&C
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City | SAN FRANCISCO
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State | CA
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Zip | 94131-3033
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Country | US
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Telephone | 415-585-1990
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Fax |
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Provider Business Mailing Address
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Address Line | 605 CHENERY ST STE B&C
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City | SAN FRANCISCO
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State | CA
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Zip | 94131-3033
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Country | US
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Telephone | 415-585-1990
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARNIE RACHELE MCCURDY
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Credential | L.AC
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Telephone | 415-585-1990
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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 | AC8910
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License Number State | CA
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