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NPI 1730626953

NPI 1730626953 : ECAIM, INC. : EL CERRITO, CA

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General NPI Number Information
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    NPI Number           |    1730626953
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    Entity Type          |    Organization 
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    Legal Business Name  |    ECAIM, INC. 
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Dates
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    Enumeration Date     |    01/25/2017
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    Last Update Date     |    01/25/2017
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Provider Practice Location Address
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    Address Line         |    729 EL CERRITO PLZ 
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    City                 |    EL CERRITO
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    State                |    CA
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    Zip                  |    94530-4022
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    Country              |    US
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    Telephone            |    510-408-6120
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    729 EL CERRITO PLZ 
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    City                 |    EL CERRITO
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    State                |    CA
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    Zip                  |    94530-4022
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    Country              |    US
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    Telephone            |    510-408-6120
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     RON  ELKAYAM 
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    Credential           |    
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    Telephone            |    510-408-6120
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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       |    10931
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    License Number State |    CA
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