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General NPI Number Information
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NPI Number | 1740523810
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Entity Type | Organization
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Legal Business Name | WISE ACUPUNCTURE INC.
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 235 E BROADWAY SUITE 524
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City | LONG BEACH
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State | CA
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Zip | 90802-3162
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Country | US
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Telephone | 619-339-8407
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Fax |
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Provider Business Mailing Address
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Address Line | 235 E BROADWAY SUITE 524
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City | LONG BEACH
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State | CA
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Zip | 90802-3162
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Country | US
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Telephone | 619-339-8407
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | MRS. MELISSA ANN TOYOSHIMA
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Credential | L.AC.
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Telephone | 619-339-8407
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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 | 14827
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License Number State | CA
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