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General NPI Number Information
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NPI Number | 1780894832
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Entity Type | Individual
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Provider Name | DAVID IAN AMATO L.AC.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11633 SAN VICENTE BLVD #220
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City | LOS ANGELES
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State | CA
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Zip | 90049-6511
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Country | US
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Telephone | 310-826-7597
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Fax | 310-447-1864
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Provider Business Mailing Address
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Address Line | 1075 HENRY RIDGE MTWY
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City | TOPANGA
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State | CA
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Zip | 90290-4138
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Country | US
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Telephone | 310-729-8369
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Fax | 310-447-1864
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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 | AC11031
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License Number State | CA
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