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General NPI Number Information
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NPI Number | 1770006827
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Entity Type | Organization
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Legal Business Name | DANIELA FREDA ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 4200 18TH ST STE 203
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-2449
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Country | US
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Telephone | 415-335-0238
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Fax | 866-640-1184
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Provider Business Mailing Address
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Address Line | 4200 18TH ST STE 203
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-2449
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Country | US
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Telephone | 415-335-0238
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Fax | 866-640-1184
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DANIELA FREDA
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Credential | L.AC.
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Telephone | 415-335-0238
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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 | 10562
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License Number State | CA
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