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General NPI Number Information
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NPI Number | 1740426253
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Entity Type | Organization
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Legal Business Name | JAPANESE ACUPUNCTURE KEI'S CLINIC, INC.
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Dates
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Enumeration Date | 01/05/2009
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Last Update Date | 01/05/2009
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Provider Practice Location Address
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Address Line | 10 ROLLINS RD STE 109
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City | MILLBRAE
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State | CA
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Zip | 94030-3128
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Country | US
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Telephone | 650-697-3123
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Fax |
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Provider Business Mailing Address
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Address Line | 10 ROLLINS RD STE 109
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City | MILLBRAE
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State | CA
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Zip | 94030-3128
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Country | US
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Telephone | 650-697-3123
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEI KUROTANI
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Credential | PH.D, L.AC.
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Telephone | 650-697-3123
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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 | AC7521
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License Number State | CA
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