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General NPI Number Information
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NPI Number | 1689816472
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Entity Type | Individual
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Provider Name | ANN-MARIE TEREZ BLANCHARD L.AC.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 02/10/2024
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Provider Practice Location Address
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Address Line | 665 MAIN ST STE B
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City | MORRO BAY
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State | CA
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Zip | 93442-2268
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Country | US
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Telephone | 805-471-3979
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Fax |
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Provider Business Mailing Address
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Address Line | 2334 WILCOMBE DR
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City | CAMBRIA
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State | CA
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Zip | 93428-5246
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Country | US
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Telephone | 805-471-3979
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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 | AC12352
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License Number State | CA
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