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General NPI Number Information
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NPI Number | 1740410745
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Entity Type | Individual
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Provider Name | KUMIKO YAMAMOTO DAOM, L.AC,DIPL.O.M.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 2001 S. BARRINGTON AVE SUITE 305
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City | LOS ANGELES
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State | CA
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Zip | 90025
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Country | US
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Telephone | 310-405-1610
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Fax | 424-325-6236
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Provider Business Mailing Address
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Address Line | 2001 S. BARRINGTON AVE SUITE 305
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City | LOS ANGELES
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State | CA
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Zip | 90025
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Country | US
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Telephone | 310-405-1610
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Fax | 424-325-6236
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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 | AC 13589
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License Number State | CA
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