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General NPI Number Information
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NPI Number | 1568889863
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Entity Type | Individual
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Provider Name | JENNIFER LEE ALLEN DACM, L.AC.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 2382 FARADAY AVE # 200-30
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City | CARLSBAD
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State | CA
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Zip | 92008-7218
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Country | US
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Telephone | 442-226-8208
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Fax | 442-333-3302
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Provider Business Mailing Address
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Address Line | 2382 FARADAY AVE # 200-30
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City | CARLSBAD
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State | CA
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Zip | 92008-7218
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Country | US
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Telephone | 646-552-5150
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Fax | 442-333-3302
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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 | AC17744
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License Number State | CA
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