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General NPI Number Information
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NPI Number | 1679588016
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Entity Type | Individual
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Provider Name | MAHNAZ TAFRESHI ACUPUNCTURIEST
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 502 HOLT AVENUE
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City | POMONA
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State | CA
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Zip | 91768
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Country | US
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Telephone | 909-620-5699
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Fax | 909-620-5799
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Provider Business Mailing Address
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Address Line | 39 PARREMO
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City | MISSION VIEJO
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State | CA
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Zip | 92692
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Country | US
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Telephone | 949-581-8542
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC9010
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License Number State | CA
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