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General NPI Number Information
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NPI Number | 1649411737
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Entity Type | Individual
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Provider Name | GAIL KAWAGUCHI L.AC., DIPL.OM
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Gender | Female
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 14107 E EXPOSITION AVE
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City | AURORA
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State | CO
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Zip | 80012-2544
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Country | US
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Telephone | 626-487-8410
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Fax |
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Provider Business Mailing Address
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Address Line | 14107 EXPOSITION AVE
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City | AURORA
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State | CO
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Zip | 80012
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Country | US
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Telephone |
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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 | AC12663
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1571
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License Number State | CO
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