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General NPI Number Information
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NPI Number | 1508014689
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Entity Type | Individual
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Provider Name | STAR ENGLAND URMSTON LAC
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 1924B E MAPLE AVE
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City | EL SEGUNDO
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State | CA
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Zip | 90245-3411
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Country | US
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Telephone | 310-384-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 4121 HIGUERA ST
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City | CULVER CITY
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State | CA
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Zip | 90232-2528
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Country | US
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Telephone | 310-384-2111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 9938
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License Number State | CA
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