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General NPI Number Information
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NPI Number | 1518039114
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Entity Type | Individual
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Provider Name | RHODA CLIMENHAGA L.AC.
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 411 30TH ST STE 304
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City | OAKLAND
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State | CA
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Zip | 94609-3303
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Country | US
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Telephone | 510-444-2772
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Fax | 510-444-2773
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Provider Business Mailing Address
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Address Line | 4445 DAVENPORT AVE
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City | OAKLAND
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State | CA
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Zip | 94619-2914
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Country | US
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Telephone | 510-306-0067
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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 | AC 8559
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License Number State | CA
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