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General NPI Number Information
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NPI Number | 1649629825
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Entity Type | Organization
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Legal Business Name | ITS TREATABLE ACUPUNCTURE HERBS
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 10030 LIMERICK AVE
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City | CHATSWORTH
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State | CA
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Zip | 91311
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Country | US
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Telephone | 818-882-9765
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Fax | 818-882-9765
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Provider Business Mailing Address
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Address Line | 10030 LIMERICK AVE,
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City | CHATSWORTH
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State | CA
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Zip | 91311
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Country | US
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Telephone | 818-882-9765
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Fax | 818-882-9765
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Authorized Official
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Title or Position | PROVIDER ACUPUNCTURE/ HERBS
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Name | MS. NADIA MARIE HARDING
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Credential | LAC
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Telephone | 818-882-9765
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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 | AC6992
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License Number State | CA
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