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General NPI Number Information
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NPI Number | 1578197950
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Entity Type | Organization
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Legal Business Name | CORNERSTONE ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 150 LAGUNA RD STE A
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City | FULLERTON
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State | CA
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Zip | 92835-3615
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Country | US
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Telephone | 949-424-6430
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Fax | 949-612-0010
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Provider Business Mailing Address
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Address Line | 150 LAGUNA RD STE A
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City | FULLERTON
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State | CA
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Zip | 92835-3615
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Country | US
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Telephone | 949-424-6430
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Fax | 949-612-0010
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN LEE
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Credential |
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Telephone | 949-424-6430
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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 |
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License Number State |
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