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General NPI Number Information
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NPI Number | 1528354297
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Entity Type | Individual
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Provider Name | SEBASTIAN FEY LAC
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Gender | Male
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 2001 VAN NESS AVE STE 404
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-3024
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Country | US
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Telephone | 415-800-3886
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Fax |
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Provider Business Mailing Address
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Address Line | 160 BRANNAN ST APT 212
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-2075
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Country | US
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Telephone | 415-800-3886
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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 | AC14282
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License Number State | CA
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