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NPI 1821701335

NPI 1821701335 : CARMEN CALL ACUPUNCTURE : PLACERVILLE, CA

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General NPI Number Information
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    NPI Number           |    1821701335
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARMEN CALL ACUPUNCTURE 
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Dates
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    Enumeration Date     |    12/29/2022
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    Last Update Date     |    12/29/2022
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Provider Practice Location Address
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    Address Line         |    3077 MILES WAY APT 3 
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    City                 |    PLACERVILLE
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    State                |    CA
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    Zip                  |    95667-6552
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    Country              |    US
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    Telephone            |    510-326-6912
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3077 MILES WAY APT 3 
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    City                 |    PLACERVILLE
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    State                |    CA
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    Zip                  |    95667-6552
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    Country              |    US
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    Telephone            |    510-326-6912
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CARMEN  CALL 
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    Credential           |    LAC
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    Telephone            |    510-326-6912
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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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