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General NPI Number Information
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NPI Number | 1659191740
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Entity Type | Organization
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Legal Business Name | POINTS BY ELLEN
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 8727 LA TIJERA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90045-3906
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Country | US
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Telephone | 424-625-4228
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Fax |
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Provider Business Mailing Address
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Address Line | 758 HILLCREST ST
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City | EL SEGUNDO
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State | CA
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Zip | 90245-2004
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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 | LICENSED ACUPUNCTURIST
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Name | ELLEN DAVIS
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Credential | LA.C
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Telephone | 310-490-3067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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