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General NPI Number Information
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NPI Number | 1841557097
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Entity Type | Organization
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Legal Business Name | ZOEACUPUNCTURE
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 353 S TOPANGA CANYON BLVD
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City | TOPANGA
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State | CA
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Zip | 90290-3135
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Country | US
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Telephone | 970-379-9005
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Fax |
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Provider Business Mailing Address
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Address Line | 353 S TOPANGA CANYON BLVD
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City | TOPANGA
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State | CA
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Zip | 90290-3135
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Country | US
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Telephone | 970-379-9005
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER MEININGER
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Credential |
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Telephone | 970-379-9005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | AC14558
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License Number State | CA
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