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General NPI Number Information
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NPI Number | 1598027096
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Entity Type | Organization
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Legal Business Name | THE GIVING CHI ACUPUNCTURE & WELLNESS CENTER
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 22706 ASPAN ST #504
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City | LAKE FOREST
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State | CA
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Zip | 92630-1603
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Country | US
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Telephone | 949-916-1123
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Fax |
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Provider Business Mailing Address
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Address Line | 22706 ASPAN ST #504
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City | LAKE FOREST
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State | CA
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Zip | 92630-1603
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Country | US
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Telephone | 949-916-1123
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | ERIC CARLISLE
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Credential | L. AC.
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Telephone | 949-916-1123
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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 | 13012
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License Number State | CA
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