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General NPI Number Information
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NPI Number | 1689033912
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Entity Type | Organization
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Legal Business Name | UPTOWN ACUPUNCTURE INC.
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 842 WASHINGTON ST STE A
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City | SAN DIEGO
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State | CA
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Zip | 92103-2214
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Country | US
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Telephone | 619-800-7000
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Fax | 619-800-7000
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Provider Business Mailing Address
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Address Line | 1286 UNIVERSITY AVE # 504
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City | SAN DIEGO
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State | CA
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Zip | 92103-3312
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Country | US
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Telephone | 619-339-9980
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Fax | 619-800-7000
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Authorized Official
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Title or Position | OWNER
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Name | KIRK ROBERT PFEIFFER
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Credential | L.AC.
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Telephone | 619-339-9980
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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 | AC8484
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License Number State | CA
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