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General NPI Number Information
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NPI Number | 1679918262
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Entity Type | Individual
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Provider Name | MARINA KUZNETSOVA LAC
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Gender | Female
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3440 WILSHIRE BLVD STE 1207
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City | LOS ANGELES
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State | CA
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Zip | 90010-2127
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Country | US
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Telephone | 213-480-3191
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Fax |
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Provider Business Mailing Address
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Address Line | 125 N GALE DR APT 401
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2337
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Country | US
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Telephone | 310-999-3995
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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 | AC7753
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License Number State | CA
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