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General NPI Number Information
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NPI Number | 1578937165
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Entity Type | Organization
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Legal Business Name | PALM SPRINGS ACUPUNCTURE CENTER
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Dates
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Enumeration Date | 11/19/2015
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 2145 E TAHQUITZ WAY SUITE 5
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City | PALM SPRINGS
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State | CA
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Zip | 92262-7020
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Country | US
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Telephone | 760-372-2217
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Fax | 760-327-2245
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Provider Business Mailing Address
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Address Line | 2145 EAST TAHQUITZ SUITE 5
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City | PALM SPRINGS
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State | CA
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Zip | 92262
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Country | US
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Telephone | 760-327-2217
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Fax | 760-327-2245
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL BOYER
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Credential |
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Telephone | 760-327-2217
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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 | AC5322
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License Number State | CA
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