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General NPI Number Information
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NPI Number | 1518024785
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Entity Type | Individual
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Provider Name | HEIDI LARAE HANDY L.AC.
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Gender | Female
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 9307 CARLTON HILLS BLVD A
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City | SANTEE
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State | CA
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Zip | 92071-2572
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Country | US
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Telephone | 619-280-7784
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Fax | 619-456-2262
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Provider Business Mailing Address
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Address Line | 9307 CARLTON HILLS BLVD A
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City | SANTEE
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State | CA
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Zip | 92071-2572
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Country | US
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Telephone | 619-280-7784
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Fax | 619-456-2262
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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 | B1992009416
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License Number State | CA
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