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General NPI Number Information
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NPI Number | 1821641911
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Entity Type | Organization
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Legal Business Name | QUEEN BEE ACUPUNCTURE INC.
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 3487 CAHUENGA BLVD W STE B
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City | LOS ANGELES
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State | CA
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Zip | 90068-1338
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Country | US
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Telephone | 818-254-8483
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Fax |
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Provider Business Mailing Address
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Address Line | 2219 W OLIVE AVE STE 116
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City | BURBANK
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State | CA
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Zip | 91506-2625
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Country | US
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Telephone | 213-265-1606
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LEESA GALLENTINE
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Credential | L.AC.
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Telephone | 213-265-1606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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