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General NPI Number Information
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NPI Number | 1679364954
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Entity Type | Organization
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Legal Business Name | ALLEVIATE ACUPUNCTURE LLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 111 SE DOUGLAS ST # F-3
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City | NEWPORT
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State | OR
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Zip | 97365-4499
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Country | US
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Telephone | 805-826-8594
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Fax |
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Provider Business Mailing Address
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Address Line | 1203B N SIGNAL ST
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City | OJAI
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State | CA
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Zip | 93023-1831
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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 | CLINIC DIRECTOR
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Name | VANESSA LEILANI TUCKER
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Credential | LAC
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Telephone | 541-351-8131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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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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