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General NPI Number Information
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NPI Number | 1790452357
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Entity Type | Organization
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Legal Business Name | ISLAND ACUPUNCTURE INC
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 1222 1ST ST STE 6
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City | CORONADO
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State | CA
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Zip | 92118-1491
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Country | US
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Telephone | 619-435-2522
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Fax | 619-435-2511
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Provider Business Mailing Address
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Address Line | 1222 1ST ST STE 6
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City | CORONADO
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State | CA
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Zip | 92118-1491
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Country | US
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Telephone | 619-435-2522
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Fax | 619-435-2511
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Authorized Official
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Title or Position | OWNER
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Name | DR. GILA CAPLAN
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Credential | DAOM
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Telephone | 619-435-2522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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