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General NPI Number Information
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NPI Number | 1841007010
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Entity Type | Individual
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Provider Name | ERIC DARVISH L.AC
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Gender | Male
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1280 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90026-4423
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Country | US
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Telephone | 424-272-0403
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Fax |
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Provider Business Mailing Address
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Address Line | 2117 1/2 S BEVERLY GLEN BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90025-6029
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Country | US
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Telephone | 323-840-6940
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC20224
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License Number State | CA
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