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General NPI Number Information
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NPI Number | 1609088715
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Entity Type | Individual
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Provider Name | SHLOMIT MICHAELY PH. D. L. AC.
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 02/12/2023
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Provider Practice Location Address
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Address Line | 13160 MINDANAO WAY STE 308
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City | MARINA DEL REY
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State | CA
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Zip | 90292-7907
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Country | US
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Telephone | 310-492-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 2355 WESTWOOD BLVD # 343
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City | LOS ANGELES
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State | CA
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Zip | 90064-2109
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Country | US
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Telephone | 310-505-1333
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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 | AC5154
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License Number State | CA
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