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General NPI Number Information
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NPI Number | 1558504324
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Entity Type | Individual
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Provider Name | HOWARD GARY FINE N.D.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2009
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Last Update Date | 04/09/2009
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Provider Practice Location Address
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Address Line | 1150 GROVE ST.
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401
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Country | US
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Telephone | 805-709-7883
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Fax | 805-473-0128
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Provider Business Mailing Address
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Address Line | 620 DEL SOL ST.
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City | ARROYO GRANDE
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State | CA
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Zip | 93420
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Country | US
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Telephone | 805-709-7883
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Fax | 805-473-0128
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND-249
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License Number State | CA
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