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General NPI Number Information
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NPI Number | 1821464488
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Entity Type | Organization
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Legal Business Name | J. RA'CHEL NEWMAN
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 1425 W ARTESIA BLVD
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City | GARDENA
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State | CA
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Zip | 90248-3231
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Country | US
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Telephone | 310-225-5662
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E ARBOR ST SPC 34
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City | LONG BEACH
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State | CA
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Zip | 90805-6843
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Country | US
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Telephone | 949-742-2270
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MS. JESSICA RA'CHEL NEWMAN
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Credential | LAC.
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Telephone | 949-742-2270
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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 | AC16554
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License Number State | CA
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