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General NPI Number Information
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NPI Number | 1699093724
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Entity Type | Organization
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Legal Business Name | LOKAHI ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 02/13/2018
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Provider Practice Location Address
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Address Line | 1688 WILLOW STREET SUITE B
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City | SAN JOSE
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State | CA
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Zip | 95125
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Country | US
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Telephone | 408-279-9001
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Fax | 408-279-9004
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Provider Business Mailing Address
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Address Line | 1688 WILLOW STREET SUITE B
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City | SAN JOSE
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State | CA
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Zip | 95125
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Country | US
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Telephone | 408-279-9001
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Fax | 408-279-9004
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Authorized Official
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Title or Position | OWNER
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Name | ANNA RUDEL
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Credential | L.AC.
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Telephone | 408-279-9001
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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 | CA9233
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License Number State | CA
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