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General NPI Number Information
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NPI Number | 1689413437
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Entity Type | Organization
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Legal Business Name | TAO MEETS WEST
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 4081 JEWELL ST APT A
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City | SAN DIEGO
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State | CA
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Zip | 92109-6045
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Country | US
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Telephone | 201-463-2260
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Fax |
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Provider Business Mailing Address
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Address Line | 4081 JEWELL ST APT A
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City | SAN DIEGO
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State | CA
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Zip | 92109-6045
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | DR. THOMAS WILLIAM NOONAN
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Credential | LAC
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Telephone | 201-463-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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