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General NPI Number Information
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NPI Number | 1841903531
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Entity Type | Organization
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Legal Business Name | MANCINI ACUPUNCTURE
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 3547 CAMINO DEL RIO SOUTH SUITE C
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City | SAN DIEGO
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State | CA
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Zip | 92108
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Country | US
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Telephone | 619-287-4005
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Fax | 619-287-1135
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Provider Business Mailing Address
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Address Line | 3547 CAMINO DEL RIO SOUTH SUITE C
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City | SAN DIEGO
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State | CA
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Zip | 92108
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Country | US
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Telephone | 619-287-4005
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Fax | 619-287-1135
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | DR. MARIO A MANCINI
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Credential | O.M.D., L.AC.
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Telephone | 619-287-4005
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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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