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General NPI Number Information
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NPI Number | 1801317151
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Entity Type | Organization
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Legal Business Name | GREEN APPLE ACUPUNCTURE
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 185 FRONT ST STE 206
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City | DANVILLE
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State | CA
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Zip | 94526-3340
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Country | US
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Telephone | 925-855-1645
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Fax | 925-855-1645
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Provider Business Mailing Address
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Address Line | 185 FRONT ST STE 206
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City | DANVILLE
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State | CA
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Zip | 94526-3340
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Country | US
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Telephone | 925-855-1645
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Fax | 925-855-1645
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Authorized Official
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Title or Position | ACUPUNCTURIST/OWNER
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Name | JOEY MAZZERA
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Credential | LAC
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Telephone | 925-855-1645
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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 |
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License Number State |
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