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General NPI Number Information
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NPI Number | 1689132011
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Entity Type | Individual
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Provider Name | RACHAEL SUZANNE GARCIA DAOM, LAC, CMT
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Gender | Female
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 11704 WILSHIRE BLVD STE 293
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City | LOS ANGELES
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State | CA
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Zip | 90025-1541
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Country | US
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Telephone | 310-575-8889
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Fax |
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Provider Business Mailing Address
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Address Line | 578 WASHINGTON BLVD # 60
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5421
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Country | US
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Telephone | 215-650-7664
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Fax | 323-306-0082
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 18039
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License Number State | CA
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