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General NPI Number Information
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NPI Number | 1578644688
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Entity Type | Individual
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Provider Name | HATICE POROY L.AC, M.D
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1808 SAN MIGUEL DR
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City | WALNUT CREEK
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State | CA
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Zip | 94596-8606
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Country | US
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Telephone | 510-333-3142
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Fax |
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Provider Business Mailing Address
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Address Line | 2024 ESSENAY AVE
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City | WALNUT CREEK
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State | CA
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Zip | 94597-2432
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Country | US
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Telephone | 510-333-3142
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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 | AC9978
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License Number State | CA
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