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General NPI Number Information
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NPI Number | 1558575464
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Entity Type | Individual
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Provider Name | KRISTEN E. HAUENSTEIN L.AC.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2030 VIBORG RD SUITE 203
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City | SOLVANG
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State | CA
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Zip | 93463-2220
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Country | US
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Telephone | 805-688-5524
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1971
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City | BUELLTON
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State | CA
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Zip | 93427-1971
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Country | US
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Telephone | 805-588-5879
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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 | 9075
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License Number State | CA
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