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General NPI Number Information
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NPI Number | 1710636683
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Entity Type | Individual
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Provider Name | ERIN K PETERS DTCM, L.AC.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2022
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 15951 LOS GATOS BLVD STE 15
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City | LOS GATOS
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State | CA
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Zip | 95032-3488
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Country | US
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Telephone | 408-389-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 184 EL SOLYO HEIGHTS DR
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City | FELTON
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State | CA
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Zip | 95018-9305
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Country | US
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Telephone | 831-428-2820
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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 | AC19129
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License Number State | CA
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