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General NPI Number Information
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NPI Number | 1659497717
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE CENTER OF SANTA MARIA
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 225 E MILL ST
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City | SANTA MARIA
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State | CA
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Zip | 93454-4426
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Country | US
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Telephone | 805-922-4490
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Fax | 805-928-7194
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Provider Business Mailing Address
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Address Line | 225 E MILL ST
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City | SANTA MARIA
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State | CA
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Zip | 93454-4426
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Country | US
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Telephone | 805-922-4490
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Fax | 805-928-7194
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MR. HERB KANDEL
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Credential | O.M.D., L.AC.
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Telephone | 805-922-4490
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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 | CM2737
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License Number State | CA
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