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General NPI Number Information
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NPI Number | 1619781911
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Entity Type | Organization
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Legal Business Name | KENNEALLY ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 23542 LYONS AVE STE 202
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City | NEWHALL
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State | CA
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Zip | 91321-5713
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Country | US
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Telephone | 661-252-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 23542 LYONS AVE STE 202
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City | NEWHALL
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State | CA
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Zip | 91321-5713
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Country | US
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Telephone | 818-383-0021
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST/ OWNER
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Name | MS. KATHLEEN ANN KENNEALLY
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Credential | L.AC.
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Telephone | 661-252-4100
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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 |
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License Number State |
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