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General NPI Number Information
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NPI Number | 1679419139
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Entity Type | Organization
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Legal Business Name | STONE SOUP ACUPUNCTURE PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 2124 5TH AVE
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City | OROVILLE
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State | CA
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Zip | 95965-5862
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Country | US
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Telephone | 530-712-9195
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Fax | 530-712-9171
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Provider Business Mailing Address
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Address Line | 2124 5TH AVE
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City | OROVILLE
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State | CA
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Zip | 95965-5862
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Country | US
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Telephone | 530-712-9195
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Fax | 530-712-9171
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Authorized Official
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Title or Position | CEO
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Name | LORI TATARU
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Credential | L.AC.
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Telephone | 650-743-7260
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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 |
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License Number State |
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