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General NPI Number Information
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NPI Number | 1699927152
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Entity Type | Organization
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Legal Business Name | RETREAT ACUPUNCTURE
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 1801 BUSH ST SUITE 106
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5239
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Country | US
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Telephone | 415-441-7200
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Fax | 415-441-7201
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Provider Business Mailing Address
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Address Line | 1801 BUSH ST STE 106
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5295
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Country | US
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Telephone | 415-441-7200
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Fax | 415-590-2707
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Authorized Official
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Title or Position | OWNER
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Name | GREG ZIMMERMAN
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Credential | L.AC.
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Telephone | 415-441-7200
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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 | AC6280
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License Number State | CA
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