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General NPI Number Information
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NPI Number | 1619407434
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Entity Type | Individual
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Provider Name | NIKOLA ZUNIC L.AC, CMT
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Gender | Male
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 2360 1ST ST
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City | NAPA
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State | CA
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Zip | 94559
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Country | US
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Telephone | 707-492-5597
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Fax |
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Provider Business Mailing Address
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Address Line | 2660 MAIN ST
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City | NAPA
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State | CA
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Zip | 94558-5031
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Country | US
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Telephone | 415-699-9989
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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 | AC17407
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License Number State | CA
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